ROTH FAMILY MEDICINE AND MENTAL HEALTH; NPI #1144168881

Contact Information

ROTH FAMILY MEDICINE AND MENTAL HEALTH

444 HOSPITAL WAY. SUITE 422
POCATELLO, ID 83201

Phone: 208-904-4705
Fax: 208-203-6420
Website: http://www.rothfamilymed.com

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for ROTH FAMILY MEDICINE AND MENTAL HEALTH

NPI #	`1144168881`
LBN Legal business name	ROTH FAMILY MEDICINE AND MENTAL HEALTH
Authorized official	KYLE ROTH - (OWNER OPERATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/24/2026
Last updated	03/24/2026 - About 2 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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