Organization
BEACON HEALTH SERVICES INC
Active
Other names
Beacon Hospital & Rehabilitation Of Pocatello
Organization subpart
No
Provider details
NPI number
Authorized official
CRAE T BERRETT (OWNER)
(208) 251-1107
Entity
Organization
Contact information
Practice address
1200 HOSPITAL WAY, POCATELLO, ID 83201-2708
(208) 232-2570
(208) 233-6769
Mailing address
1200 HOSPITAL WAY, POCATELLO, ID 83201-2708
(208) 232-2570
(208) 233-6769
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
59
ID
Other
Enumeration date
01/31/2006
Last updated
08/22/2020
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