Internal Medicine
POCATELLO HOSPITAL LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1760610935 · enumerated 2009-06-26 · record updated 2022-04-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: STEPHEN PETROVICH, EVP, General Counsel · (615) 296-3594
Addresses and phones
- Practice location 651 MEMORIAL DR, POCATELLO, ID, 83201-4071 (208) 239-2110 Fax (208) 239-2145 Google Maps Apple Maps OpenStreetMap
- Mailing address 651 MEMORIAL DR, POCATELLO, ID, 83201-4071 (208) 239-2110 Fax (208) 239-2145 Google Maps Apple Maps OpenStreetMap
Specialties
- General Acute Care Hospital 282N00000X · License 12 ID
- Nurse Anesthetist, Certified Registered 367500000X
- Internal Medicine 207R00000X · Primary
In this directory
Locations and evidence
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Practice location
POCATELLO, ID, 832014071
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.