PORTNEUF MEDICAL CENTER
NPI 1417210568
General Acute Care Hospital - Critical Access in Pocatello, ID

NPI Status: Active since June 22, 2012

Contact Information

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201
Phone: (208) 239-2260

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  • Organization
  • General Acute Care Hospital
  • Critical Access

About PORTNEUF MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Portneuf Medical Center, a provider established in Pocatello, Idaho operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1417210568 assigned on June 2012. The practitioner's primary taxonomy code is 282NC0060X with license number 24374A (ID). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Norman Stephens (Ceo)

NPI
1417210568
Provider Name
PORTNEUF MEDICAL CENTER
Entity Type
Organization
Location Address
777 HOSPITAL WAY POCATELLO, ID 83201
Location Phone
(208) 239-2260
Mailing Address
1593 POINTVIEW DR POCATELLO, ID 83201
Mailing Phone
(208) 241-0651
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2012
Last Update Date
06-22-2012
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 05-10-2011 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital Critical Access

Taxonomy Code
282NC0060X
Type
Hospitals
License No.
24374A
License State
ID

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NORMAN STEPHENS

Authorized Official Title
CEO
Authorized Official Phone
(208) 239-1004

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • PORTNEUF MEDICAL CENTER has an ownership type of For profit
  • The facility received it's medicare certification date on 05-10-2011
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions39
Brain disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Brain injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Hip or femur fracture37
Hip or knee replacement, amputation or other bone or joint condition22
Nervous system disorder (excluding stroke)17
Spinal cord disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Spinal cord injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Stroke39

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417210568
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2427410512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 4 + 1 + 0 + 5 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1417210568 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

LESLIE JEAN MCGOVERN PA-C, MHE, ATC, LAT

Physician Assistant

(Medical)

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(480) 421-9700

CDS,PA

Obstetrics & Gynecology

777 HOSPITAL WAY
BLDG A, STE 300
POCATELLO, ID
ZIP 83201

(208) 232-6100

TAMMY L SKIDMORE CRNA

Nurse Anesthetist, Certified Registered

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(208) 239-1000

DR. KIM LEON COX MD

Obstetrics & Gynecology

777 HOSPITAL WAY
BLDG A SUITE 300
POCATELLO, ID
ZIP 83201

(208) 232-8792

ALEX J BRINGHURST CRNA

Nurse Anesthetist, Certified Registered

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(208) 239-1000

JARED KENT WILSON PA-C, MPAS, MED, ATC

Physician Assistant

(Surgical)

777 HOSPITAL WAY
BUILDING A, SUITE 201
POCATELLO, ID
ZIP 83201

(208) 239-2714

DR. DANIEL DALLEY SNELL M.D, M.P.H.

Anesthesiology

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(208) 232-7760

ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC

Emergency Medicine

(Emergency Medical Services)

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(480) 421-9799

IHC HEALTH SERVICES INC

Clinic/Center

(Multi-Specialty)

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(801) 507-3500

POCATELLO HEALTH SERVICES, LLC

General Acute Care Hospital

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(208) 239-2065

MS. EUNICE GRACE GARDNER PH.D.

Psychologist

(Adult Development & Aging)

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(208) 239-1710

NICHOLAS STODDARD CRNA

Nurse Anesthetist, Certified Registered

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(208) 232-7760

MRS. DEBRA LYNN RODRIGUEZ CNS

Clinical Nurse Specialist

(Adult Health)

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(208) 239-1000

TYLER HEPWORTH PA

Physician Assistant

(Medical)

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(480) 421-9700

MRS. JOANNA KELLEY DAVIDSON M.S., R.D., L.D.

Dietitian, Registered

777 HOSPITAL WAY
BUILDING A, SUITE 201
POCATELLO, ID
ZIP 83201

(208) 239-2737

MR. GUSTIN ROSS BLAD FNP-BC

Nurse Practitioner

(Family)

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(208) 239-1000

CAROLE E SHELLEY M.D.

Obstetrics & Gynecology

777 HOSPITAL WAY
SUITE 300
POCATELLO, ID
ZIP 83201

(208) 239-3461

DR. JOEL ANDREW CARLSON DO

Obstetrics & Gynecology

777 HOSPITAL WAY
BLDG A SUITE 300
POCATELLO, ID
ZIP 83201

(208) 233-1720

MICHAEL GARY JONES D.O.

Obstetrics & Gynecology

777 HOSPITAL WAY
BLDG A SUITE 300
POCATELLO, ID
ZIP 83201

(208) 232-6100

PETER JOHN JONES M.D.

Urology

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

(208) 239-2724

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417210568, enumerated as an "organization" on June 22, 2012.

The provider is located at 777 HOSPITAL WAY POCATELLO, ID 83201 and the phone number is (208) 239-2260.

General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.