POCATELLO CHILDREN & ADOLESCENT CLINIC
NPI 1700898822
Pediatrics in Pocatello, ID

Q: What is Pocatello Children & Adolescent Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 13, 2006

1151 HOSPITAL WAY BLDG F, POCATELLO, ID 83201(208) 232-1443(208) 239-3434 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Mar 17, 2025, Mar 7, 2019 (3 updates tracked since 2019).

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About Pocatello Children & Adolescent Clinic NPPES

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

POCATELLO CHILDREN & ADOLESCENT CLINIC (NPI 1700898822), doing business as Pocatello Children's Clinic, is a healthcare organization registered as a pediatrics in Pocatello, Idaho and active in the NPI registry since August 2006. The organization lists Jessica Perry, Administrator, as its authorized official.

NPPES Registry Identity

NPI1700898822

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePOCATELLO CHILDREN & ADOLESCENT CLINIC

Location Address1151 HOSPITAL WAY BLDG FPocatello, ID 83201-5091

Mailing Address1151 Hospital Way Bldg FPocatello, ID 83201-5091 · (208) 232-1443 · Fax (208) 239-3434

Phone(208) 232-1443

Fax(208) 239-3434

Organization SubpartYesParent: Pocatello Children's Clinic

Authorized OfficialJessica PerryAdministrator · (208) 236-9600

Enumeration DateAugust 13, 2006

Last NPPES UpdateApril 22, 20263 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1700898822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1151 HOSPITAL WAY BLDG F, Pocatello, ID 83201

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Other Names 1

Doing Business AsPocatello Children's Clinic

Other Identifiers 1

Medicaid002601400ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 4

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

JOSHUA SIMMS PULLIAM PNP-PC

Nurse Practitioner (Pediatrics)

1151 HOSPITAL WAY BLDG F
POCATELLO, ID 83201

Bannock County (202) 232-1443

ALISON MARIE MCINTURFF M.D.

Pediatrics

1151 HOSPITAL WAY BLDG F
POCATELLO, ID 83201

Bannock County (208) 232-1443

MATTHEW A STELZER MD

Pediatrics

1151 HOSPITAL WAY BLDG F
POCATELLO, ID 83201

Bannock County (208) 232-1443

DAVID J LARSEN M.D.

Pediatrics

1151 HOSPITAL WAY BLDG F
POCATELLO, ID 83201

Bannock County (208) 232-1443

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 Children & Adolescent Clinic's NPI number?

The NPI number for Pocatello Children & Adolescent Clinic is 1700898822. It was assigned to this organization in the NPPES registry on August 13, 2006. The provider is doing business as Pocatello Children's Clinic.

Where is Pocatello Children & Adolescent Clinic located?

Pocatello Children & Adolescent Clinic is located at 1151 Hospital Way Bldg F, Pocatello, ID 83201. The listed phone number is (208) 232-1443.

What is Pocatello Children & Adolescent Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Pocatello Children & Adolescent Clinic accept?

Health plans from Moda Health Plan, Inc. and University of Utah Health Plans list Pocatello Children & Adolescent Clinic 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 Children & Adolescent Clinic was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.