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Organization

PORTNEUF MEDICAL CENTER

Active
Other names
Portneuf Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNATHAN WILKER (VP FINANCE & CFO)
(208) 239-1020
Entity
Organization

Contact information

Practice address
651 MEMORIAL DR, POCATELLO, ID 83201-4071
(208) 239-1000
(208) 239-2112
Mailing address
651 MEMORIAL DR, POCATELLO, ID 83201-4071
(208) 239-1000
(208) 239-2112

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H12
ID

Other

Enumeration date
06/12/2006
Last updated
08/22/2020
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