Organization
POCATELLO HOSPITAL, LLC
Active
Parent organization
POCATELLO HEALTH SYSTEM, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
POCATELLO HEALTH SYSTEM, LLC
Authorized official
STEPHEN C. PETROVICH (EVP, GENERAL COUNSEL)
(615) 296-3594
Entity
Organization
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1000
Mailing address
340 SEVEN SPRINGS WAY STE 100, BRENTWOOD, TN 37027-5697
(615) 296-3000
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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