Organization · Type 2 NPI

Pocatello Hospital LLC

Rehabilitation Hospital Unit · Pocatello, ID

NPI number 1144262114 Active

Practice location

777 Hospital Way
Pocatello, ID 83201-5175

Fax (208) 239-1934

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Hospital Unit Primary	273Y00000X	H12 (ID)

Rehabilitation Hospital Unit: In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets th…

149 other providers at this address

NPI record

NPI: 1144262114
Entity type: Organization (Type 2)
Issued: Jun 12, 2006
Last updated: Apr 19, 2022
Status: Active
Subpart: Yes of Portneuf Medical Center

Other names

<unavail>
Portneuf Rehabilitation Center · doing business as
Portneuf Rehabilitation Center · doing business as

Authorized official

Stephen C. Petrovich
EVP, General Counsel
(615) 296-3594

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About NPI 1144262114

Pocatello Hospital LLC's National Provider Identifier is 1144262114, issued on Jun 12, 2006. The primary taxonomy on file is Rehabilitation Hospital Unit (273Y00000X), and the practice location is in Pocatello, ID. The record was last updated on Apr 19, 2022.