Pocatello Health Services, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

POCATELLO HEALTH SERVICES, LLC

Practice address

2240 E Center St
Pocatello, ID 83201-2600

Phone

(208) 233-2100

Fax

(208) 233-3146

NPI assigned

Dec 7, 2021

Organization subpart

No

Name

Stephen C. Petrovich

Title

Evp, General Counsel

Phone

(615) 296-3594

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mara Additon, M.D.

  • Surgery Physician
  • Pocatello, ID
  • NPI 1184067613
  NPD
• Bruce J Andersen, MD

  • Neurological Surgery Physician
  • Boise, ID
  • NPI 1063420792
  NPD
• Douglas Ken Andersen, DO

  • Internal Medicine Physician
  • Pocatello, ID
  • NPI 1730599598
  NPD
• Gabriela Anghel, MD

  • Internal Medicine Physician
  • Pocatello, ID
  • NPI 1598196784
  NPD
• Kealee Arehart, NP

  • Family Nurse Practitioner
  • Pocatello, ID
  • NPI 1043968290
  NPD
• Chelsey Aslett, NP-C

  • Family Nurse Practitioner
  • Pocatello, ID
  • NPI 1124851357
  NPD
• Jordan Lyle Bailey, M.D.

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1225124936
  NPD
• Harriet Barratt, M.D.

  • Trauma Surgery Physician
  • Pocatello, ID
  • NPI 1326539685
  NPD
• Cynthia Love Barron, CNS

  • Adult Health Clinical Nurse Specialist
  • Pocatello, ID
  • NPI 1902039951
  NPD
• Christian Beauregard, DO

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1952984973
  NPD
• Umesh Chander Bhandari, M.D.

  • Psychiatry Physician
  • Twin Falls, ID
  • NPI 1548572274
  NPD
• Ryan Andrew Billington, M.D.

  • Psychiatry Physician
  • Nampa, ID
  • NPI 1891182861
  NPD

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2021.

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1154089126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BURTON HILLS BLVD STE 250",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156195",
            "telephone_number": "615-296-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012600",
            "telephone_number": "208-233-2100",
            "fax_number": "208-233-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCATELLO HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EVP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-296-3594"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pocatello Family Medicine
• Pocatello Free Clinic
• Pocatello Health Services, Inc.
• Pocatello Health Services, Inc.
• Pocatello Health Services, LLC
• Pocatello Health Services, LLC
• Pocatello Health Services, LLC
• Pocatello Health Services, LLC
• Pocatello Health Services, LLC
• Pocatello Hospital LLC

• All providers in Pocatello, ID
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.