# MOUNTAIN VIEW HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOUNTAIN VIEW HOSPITAL LLC
- **Other names:** Pain and Spine Specialists of Idaho
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699141150
- **Legal business name:** MOUNTAIN VIEW HOSPITAL LLC
- **Authorized official:** MR. NED HILLYARD (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (208) 557-2711

## Contact information

- **Practice address:** 1595 YELLOWSTONE AVE, POCATELLO, ID 83201-4203
- **Practice address phone:** (208) 522-7246
- **Mailing address:** 2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
- **Mailing address phone:** (208) 557-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | ID | Yes |

## Other

- **Enumeration date:** 08/18/2015
- **Last updated:** 09/23/2015