Organization
PORTNEUF MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN STEPHENS (CEO)
(208) 239-1004
Entity
Organization
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-2260
Mailing address
1593 POINTVIEW DR, POCATELLO, ID 83201-2800
(208) 241-0651
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
24374A
ID
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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