POCATELLO HEALTH SERVICES, LLC
NPI 1689802852
General Acute Care Hospital in Pocatello, ID

Active since June 26, 2009
651 MEMORIAL DR, POCATELLO, ID 83201(208) 239-2110(208) 239-2145 Get Directions Write a Review

NPPES record last updated: June 26, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pocatello Health Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POCATELLO HEALTH SERVICES, LLC (NPI 1689802852) is a healthcare organization registered as a general acute care hospital in Pocatello, Idaho and active in the NPI registry since June 2009. The organization lists Jonathan R Wilker, Vp Finance & Cfo, as its authorized official.

NPPES Registry Identity

NPI1689802852
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePOCATELLO HEALTH SERVICES, LLC
Location Address651 MEMORIAL DRPocatello, ID 83201-4071
Mailing Address651 Memorial DrPocatello, ID 83201-4071 · (208) 239-2110 · Fax (208) 239-2145
Fax(208) 239-2145
Organization SubpartNo
Authorized OfficialJonathan R WilkerVp Finance & Cfo · (208) 239-1000
Enumeration DateJune 26, 2009
✔ NPI 1689802852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in ID · 12
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
651 MEMORIAL DR, Pocatello, ID 83201

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pocatello Health Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

188

Medicare enrollment records show 188 clinicians reassign Medicare billing to Pocatello Health Services, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 90 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Family Practice27
Nurse Practitioner26
Neurology21
Internal Medicine13
General Surgery9
Interventional Cardiology8
Orthopedic Surgery8
Psychiatry8
28 other specialties68

Nearest to this location (20)

See all 188
Cardiac Surgery
NPI 1083759880
651 MEMORIAL DR
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1659316974
651 MEMORIAL DR
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1548548589
650 MEMORIAL DRIVE BUILDING 68
Pocatello, ID 83209
(208) 282-3495
✔ Accepts Medicare0.1 mi
Radiation Oncology
NPI 1316978539
500 S 11TH AVE SUITE 101
Pocatello, ID 83201
(208) 239-1750
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1336832336
465 MEMORIAL DR
Pocatello, ID 83201
(208) 232-7862
✔ PECOS0.1 mi
Neurology
NPI 1578667739
333 N 18TH AVE STE B4
Pocatello, ID 83201
(208) 232-2233
✔ PECOS✔ Accepts Medicare0.6 mi
Pulmonary Disease
NPI 1972563310
500 S 11TH AVE SUITE 305
Pocatello, ID 83201
(208) 233-5864
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1124851357
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts Medicare0.7 mi
Internal Medicine
NPI 1649841255
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-2481
✔ PECOS✔ Accepts Medicare0.7 mi
Hematology/Oncology
NPI 1184911141
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1720
✔ PECOS✔ Accepts Medicare0.7 mi
Cardiovascular Disease (Cardiology)
NPI 1285884213
777 HOSPITAL WAY # 101
Pocatello, ID 83201
(208) 234-2001
✔ PECOS✔ Accepts Medicare0.7 mi
Cardiac Electrophysiology
NPI 1568487726
777 HOSPITAL WAY SUITE 101
Pocatello, ID 83201
(208) 239-3899
✔ PECOS✔ Accepts Medicare0.7 mi
Emergency Medicine
NPI 1912935685
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts Medicare0.7 mi
Urology
NPI 1891280442
777 HOSPITAL WAY STE 215
Pocatello, ID 83201
(208) 239-2770
✔ PECOS✔ Accepts Medicare0.7 mi
Gastroenterology
NPI 1972980548
1151 HOSPITAL WAY BLDG A
Pocatello, ID 83201
(208) 232-6616
✔ PECOS✔ Accepts Medicare0.7 mi
General Surgery
NPI 1184067613
777 HOSPITAL WAY STE 201
Pocatello, ID 83201
(208) 239-2620
✔ PECOS✔ Accepts Medicare0.7 mi
Medical Oncology
NPI 1730599598
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1720
✔ PECOS✔ Accepts Medicare0.7 mi
Undersea and Hyperbaric Medicine
NPI 1871524256
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 233-0607
✔ PECOS0.7 mi
Registered Dietitian or Nutrition Professional
NPI 1720741101
777 HOSPITAL WAY STE 201
Pocatello, ID 83201
(208) 239-2620
0.7 mi
Interventional Cardiology
NPI 1770579658
777 HOSPITAL WAY BLDG A STE. 101
Pocatello, ID 83201
(208) 234-2001
✔ PECOS✔ Accepts Medicare0.7 mi
See all 188 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pocatello Health Services, LLC's NPI number?

The NPI number for Pocatello Health Services, LLC is 1689802852. It was assigned to this organization in the NPPES registry on June 26, 2009.

Where is Pocatello Health Services, LLC located?

Pocatello Health Services, LLC is located at 651 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 239-2110.

What is Pocatello Health Services, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Pocatello Health Services, LLC enrolled in Medicare?

Yes. Pocatello Health Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pocatello Health Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 188 clinicians in 36 Medicare specialties reassign their Medicare billing to Pocatello Health Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (27), Nurse Practitioner (26) and Neurology (21). Of these, 2 practice at this address and 90 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pocatello Health Services, LLC was last updated on June 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.