1958
Organization Active NPI Rural Acute Care Hospital · Pocatello, ID
NPI 1013306307 · NPPES record last updated Jan 9, 2015
Key facts
- NPI
- 1013306307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Acute Care Hospital 282NR1301X
- License
- 728144 (CA)
- Legal business name
- 1958
- Practice address
- 730 E Clark St
#4657
Pocatello, ID 83205-5401 - Phone
- (619) 838-4593
- NPI assigned
- Jan 9, 2015
- Organization subpart
- No
Authorized official
- Name
- Loraine Powell
- Title
- Registered Nurse
- Phone
- (619) 838-4593
National Provider Directory
Locations
730 E Clark St
Unit 4657
Pocatello, ID 83205
Phone (619) 838-4593
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | 728144 | CA | Yes |
Addresses
Primary practice location
730 E Clark St
#4657
Pocatello, ID 83205-5401
Mailing address
9344 National Blvd Apt 11
Los Angeles, CA 90034-2925
Phone (619) 838-4593
Other providers in Pocatello, ID
- 1918 Winter Street Operating Co LLC
- 2020 Family Eyecare PLLC
- 4 The Kids LLC
- A Compass in Life
- A Journey to a New Beginning
- A New Hope, LLC
All providers in Pocatello, ID · Rural Acute Care Hospital in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.