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POCATELLO HOSPITAL, LLC
NPI 1700659935
Non-Pharmacy Dispensing Site in Pocatello, ID

Active since October 31, 2023
777 HOSPITAL WAY, POCATELLO, ID 83201(208) 239-1000 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pocatello Hospital, Llc NPPES

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

POCATELLO HOSPITAL, LLC (NPI 1700659935) is a healthcare organization registered as a non-pharmacy dispensing site in Pocatello, Idaho and active in the NPI registry since October 2023. The organization lists Stephen C. Petrovich, Evp, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1700659935
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePOCATELLO HOSPITAL, LLC
Location Address777 HOSPITAL WAYPocatello, ID 83201-5175
Mailing Address340 Seven Springs Way Ste 100Brentwood, TN 37027-5697 · (615) 296-3000
Phone(208) 239-1000
Organization SubpartYesParent: Pocatello Health System, Llc
Authorized OfficialStephen C. PetrovichEvp, General Counsel · (615) 296-3594
Enumeration DateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1700659935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
777 HOSPITAL WAY, Pocatello, ID 83201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. EUNICE GRACE GARDNER PH.D.
Psychologist (Adult Development & Aging)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1710
JESS LUFKIN CRNA
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 716-7215
ROGER A COOK MD
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1000
JASON MONTGOMERY NP-C
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-2580
ALYSSA M WOODBURY PA-C
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1226
SHANNON ALISON WEBB PA-C
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1000
DR. ROBERT MICHAEL KENNEDY M.D.
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Bannock County (208) 239-2722
MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 227-2600

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 Hospital, LLC's NPI number?

The NPI number for Pocatello Hospital, LLC is 1700659935. It was assigned to this organization in the NPPES registry on October 31, 2023.

Where is Pocatello Hospital, LLC located?

Pocatello Hospital, LLC is located at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 239-1000.

What is Pocatello Hospital, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Pocatello Hospital, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Pocatello Hospital, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pocatello Hospital, LLC was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.