Organization
POCATELLO CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA PERRY (ADMINISTRATOR)
(208) 236-9600
Entity
Organization
Contact information
Practice address
500 S 11TH AVE, STE 204, POCATELLO, ID 83201-4835
(208) 232-1443
(208) 239-3434
Mailing address
PO BOX 4730, POCATELLO, ID 83205-4730
(208) 232-1443
(208) 239-3434
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807621700
—
ID
Enumeration date
02/26/2008
Last updated
02/26/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us