Organization
CC POCATELLO LLC
Active
Parent organization
MOUNTAIN VIEW HOSPITAL LLC
Other names
Community Care Pocatello
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN VIEW HOSPITAL LLC
Authorized official
JOSHUA TOLMAN (CAO)
(208) 557-2700
Entity
Organization
Contact information
Practice address
1595 YELLOWSTONE AVE, POCATELLO, ID 83201-4203
(208) 233-0032
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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