PORTNEUF MEDICAL PRACTICES
NPI 1760719454
Clinic/Center - Multi-Specialty in Pocatello, ID

Active since November 17, 2009
651 MEMORIAL DR, POCATELLO, ID 83201(208) 239-2110(208) 239-2145 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portneuf Medical Practices NPPES

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

PORTNEUF MEDICAL PRACTICES (NPI 1760719454) is a healthcare organization registered as a multi-specialty in Pocatello, Idaho and active in the NPI registry since November 2009. The organization lists John Abreu, Cfo, as its authorized official.

NPPES Registry Identity

NPI1760719454
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePHS MD #2, LLC
Location Address651 MEMORIAL DRPocatello, ID 83201-4071
Mailing AddressPo Box 4168Pocatello, ID 83205-4168 · (208) 239-2110 · Fax (208) 239-2145
Fax(208) 239-2145
Organization SubpartYesParent: Pocatello Health Services, Llc
Authorized OfficialJohn AbreuCfo · (208) 239-2110
Enumeration DateNovember 17, 2009
Last NPPES UpdateMarch 2, 2010
NPI 1760719454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
651 MEMORIAL DR, Pocatello, ID 83201

Other Names 1

Other NamePortneuf Medical Practices

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.

Emergency Medicine
651 MEMORIAL DR
POCATELLO, ID 83201
Home Health
651 MEMORIAL DR
POCATELLO, ID 83201
Internal Medicine (Cardiovascular Disease)
651 MEMORIAL DR
POCATELLO, ID 83201
General Acute Care Hospital
651 MEMORIAL DR
POCATELLO, ID 83201
Clinic/Center (Primary Care)
651 MEMORIAL DR
POCATELLO, ID 83201
Emergency Medicine
651 MEMORIAL DR
POCATELLO, ID 83201
Respiratory Therapist, Certified (General Care)
651 MEMORIAL DR
POCATELLO, ID 83201
General Acute Care Hospital
651 MEMORIAL DR
POCATELLO, ID 83201

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 Phs MD #2, LLC's NPI number?

The NPI number for Phs MD #2, LLC is 1760719454. It was assigned to this organization in the NPPES registry on November 17, 2009. The provider is also known as Portneuf Medical Practices.

Where is Phs MD #2, LLC located?

Phs MD #2, LLC is located at 651 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 239-2110.

What is Phs MD #2, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Phs MD #2, LLC was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.