Beacon Health Services Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

37 Issued in ID

Legal business name

BEACON HEALTH SERVICES INC

Doing business as

Beacon Hospital Of Pocatello

Practice address

1200 Hospital Way
Pocatello, ID 83201-2708

Phone

(208) 232-2570

Fax

(208) 233-6769

NPI assigned

Feb 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Crae T BerrettNPI 1609147966

Title

Owner

Phone

(208) 251-1107

Specialties & licenses 1

Addresses

Other names 1

• Beacon Hospital Of Pocatello Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crae Berrett, PT

  • Physical Therapist
  • Pocatello, ID
  • NPI 1609147966
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699746198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HOSPITAL WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012708",
            "telephone_number": "208-232-2570",
            "fax_number": "208-233-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HOSPITAL WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012708",
            "telephone_number": "208-232-2570",
            "fax_number": "208-233-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRETT",
        "authorized_official_first_name": "CRAE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-251-1107"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Hospital Of Pocatello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barrett Richard Batchelder, CRNA
• Brandy M Bates, PA-C
• Sadie Bauer, NP
• Bay Roots Counseling
• Beacon Health Services Inc (Beacon Hospital & Rehabilitation Of Pocatello)
• Beacon Therapy LLC
• Shantel Beaman
• Devin James Bean, PT, DPT
• Leslie Ann Bean, NP
• Trudy Bearden, PA-C

• Skilled Nursing Facility in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Skilled Nursing Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.