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Organization
POCATELLO HEALTH SERVICES, LLC
Active
Organization
POCATELLO HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN R WILKER (VP FINANCE & CFO)
(208) 239-1000
Entity
Organization
Contact information
Practice address
651 MEMORIAL DR, POCATELLO, ID 83201-4071
(208) 239-2110
(208) 239-2145
Mailing address
651 MEMORIAL DR, POCATELLO, ID 83201-4071
(208) 239-2110
(208) 239-2145
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
12
ID
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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