Organization · Type 2 NPI

Roth Family Medicine and Mental Health

Clinic/Center · Pocatello, ID

NPI number 1134077357 Active

Practice location

2890 Ridgeview Ln
Pocatello, ID 83204-7291

Call (510) 502-9455 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1134077357

Roth Family Medicine and Mental Health's National Provider Identifier is 1134077357, issued on Mar 21, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Pocatello, ID. The record was last updated on Mar 21, 2026.