Organization · Type 2 NPI

Division of Veterans Services

Skilled Nursing Facility · Pocatello, ID

NPI number 1285624064 Active

Practice location

1957 Alvin Ricken Dr
Pocatello, ID 83201-2727

Call (208) 236-6340 Map

Fax (208) 236-6343

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X92 (ID)
Long Term Care Pharmacy 3336L0003XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1285624064

Division of Veterans Services's National Provider Identifier is 1285624064, issued on Oct 24, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Pocatello, ID. The record was last updated on Feb 24, 2026.