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.
Organization
PORTNEUF ASC, LLC
Active
Organization
PORTNEUF ASC, LLC
Active
Parent organization
POCATELLO HEALTH SYSTEM, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
POCATELLO HEALTH SYSTEM, LLC
Authorized official
STEPHEN C PETROVICH (EVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
1151 HOSPITAL WAY BLDG A, POCATELLO, ID 83201-5091
(208) 232-6616
(208) 232-6618
Mailing address
1 BURTON HILLS BLVD STE 250, NASHVILLE, TN 37215-6195
(615) 296-3000
(615) 296-6227
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up