POCATELLO HEALTH SERVICES, INC.; NPI #1386142727

Contact Information

POCATELLO HEALTH SERVICES, INC.

527 MEMORIAL DR
POCATELLO, ID 83201-4063

Phone: 208-478-3333
Fax: 208-478-3331
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility

Indicates primary specialty

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NPI Profile & details for POCATELLO HEALTH SERVICES, INC.

NPI #	`1386142727`
LBN Legal business name	POCATELLO HEALTH SERVICES, INC.
Authorized official	SOON BURNAM - (TREASURER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/31/2018
Last updated	01/31/2018 - About 8 years 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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