Organization · Type 2 NPI

Pocatello Children & Adolescent Clinic

Pediatrics Physician · Pocatello, ID

NPI number 1700898822 Active

Practice location

1151 Hospital Way Bldg F
Pocatello, ID 83201-5091

Fax (208) 239-3434

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

4 other providers at this address

Other pediatrics physician providers in Pocatello

Yost and Yost PediatricsPediatrics Physician Pocatello, ID NPI 1366508954

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NPI record

NPI: 1700898822
Entity type: Organization (Type 2)
Issued: Aug 13, 2006
Last updated: Apr 22, 2026
Status: Active
Subpart: Yes of Pocatello Children's Clinic

Other names

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Pocatello Children's Clinic · doing business as

Authorized official

Jessica Perry
Administrator
(208) 236-9600

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700898822

Pocatello Children & Adolescent Clinic's National Provider Identifier is 1700898822, issued on Aug 13, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Pocatello, ID. The record was last updated on Apr 22, 2026.