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Organization
POCATELLO HEALTH SERVICES, LLC
Active
Organization
POCATELLO HEALTH SERVICES, LLC
Active
Parent organization
LEGACY HOSPITAL PARTNERS, INC
Other names
Portneuf Contracted Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY HOSPITAL PARTNERS, INC
Authorized official
AMY OBRIEN (ADMINISTRATIVE DIRECTOR)
(208) 239-2062
Entity
Organization
Contact information
Practice address
651 MEMORIAL DR, POCATELLO, ID 83201-4071
(208) 239-2065
Mailing address
PO BOX 4168, POCATELLO, ID 83205-4168
(208) 239-2065
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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