POCATELLO HOSPITAL LLC
NPI 1760610935
Internal Medicine in Pocatello, ID

Q: What is Pocatello Hospital LLC's NPI number?

The NPI number for Pocatello Hospital LLC is 1760610935. It was assigned to this organization in the NPPES registry on June 26, 2009.

Q: What is Pocatello Hospital LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Pocatello Hospital Llc NPPES

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

POCATELLO HOSPITAL LLC (NPI 1760610935) is a healthcare organization registered as an internal medicine in Pocatello, Idaho and active in the NPI registry since June 2009. The organization lists Stephen C. Petrovich, Evp, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1760610935

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePOCATELLO HOSPITAL LLC

Location Address651 MEMORIAL DRPocatello, ID 83201-4071

Mailing Address651 Memorial DrPocatello, ID 83201-4071 · (208) 239-2110 · Fax (208) 239-2145

Phone(208) 239-2110

Fax(208) 239-2145

Organization SubpartNo

Authorized OfficialStephen C. PetrovichEvp, General Counsel · (615) 296-3594

Enumeration DateJune 26, 2009

Last NPPES UpdateApril 19, 2022

NPPES CertifiedApril 19, 2022

✔ NPI 1760610935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 12 (ID)

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X

651 MEMORIAL DR, Pocatello, ID 83201

Open in Google Maps ↗

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.

KENNETH RYAN MD

Emergency Medicine