# CC POCATELLO LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOUNTAIN VIEW HOSPITAL LLC
- **Other names:** Community Care Pocatello
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538517156
- **Legal business name:** MOUNTAIN VIEW HOSPITAL LLC
- **Authorized official:** JOSHUA TOLMAN (CAO)
- **Authorized official phone:** (208) 557-2700

## Contact information

- **Practice address:** 1595 YELLOWSTONE AVE, POCATELLO, ID 83201-4203
- **Practice address phone:** (208) 233-0032
- **Mailing address:** 2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
- **Mailing address phone:** (208) 557-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2016
- **Last updated:** 05/25/2016