# POCATELLO HOSPITAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POCATELLO HEALTH SYSTEM, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700659935
- **Legal business name:** POCATELLO HEALTH SYSTEM, LLC
- **Authorized official:** STEPHEN C. PETROVICH (EVP, GENERAL COUNSEL)
- **Authorized official phone:** (615) 296-3594

## Contact information

- **Practice address:** 777 HOSPITAL WAY, POCATELLO, ID 83201-5175
- **Practice address phone:** (208) 239-1000
- **Mailing address:** 340 SEVEN SPRINGS WAY STE 100, BRENTWOOD, TN 37027-5697
- **Mailing address phone:** (615) 296-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2023
- **Last updated:** 10/31/2023