Independent site. Not affiliated with, endorsed by, or connected to DoD, DHA, or the official TRICARE program. Visit the official TRICARE site.

HomeProvidersPORTNEUF VALLEY FAMILY CENTER

Counselor, Professional

PORTNEUF VALLEY FAMILY CENTER

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 Plan acceptance stays unpublished until the practice reports it.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 1174629976 · enumerated 2006-09-16 · record updated 2025-06-27. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: ROBERT DE WALL, Owner/Administrator · (208) 233-7832

Addresses and phones

Practice location 444 HOSPITAL WAY STE 477, POCATELLO, ID, 83201-2744 (208) 233-7832 Fax (208) 233-7835 Google Maps Apple Maps OpenStreetMap
Mailing address 444 HOSPITAL WAY STE 477, POCATELLO, ID, 83201-2744 (208) 233-7832 Fax (208) 233-7835 Google Maps Apple Maps OpenStreetMap

Specialties

Counselor 101Y00000X
Counselor, Mental Health 101YM0800X
Social Worker 104100000X
Psychiatry & Neurology, Psychiatry 2084P0800X
Physician Assistant 363A00000X
Nurse Practitioner, Psych/Mental Health 363LP0808X
Counselor, Professional 101YP2500X · Primary

In this directory

ID Bannock County Pocatello Counselor, Professional

Locations and evidence

Practice location POCATELLO, ID, 832012744
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.