1958
General Acute Care Hospital, Rural in Pocatello, Idaho
1013306307- Practice location
- 730 E Clark St, #4657, Pocatello, ID 83205-5401
- Phone
- 619-838-4593
- Fax
- —
- Last updated
- January 9, 2015
1958 is a healthcare organization based in Pocatello, ID. The NPI number for 1958 is 1013306307 and holds license No. 728144 (CA). The current practice location address is 730 E Clark St, #4657, Pocatello, ID 83205-5401 and the office can be reached by phone at 619-838-4593. The NPI was assigned on January 9, 2015 and the record was last updated in NPPES on January 9, 2015.
●Provider Profile Details
- NPI Number
- 1013306307
- Provider Name
- 1958
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- General Acute Care Hospital, Rural · 282NR1301X
- Organization Subpart
- No
- Authorized Official
- Loraine Powell · Registered Nurse · 619-838-4593
- Enumeration Date
- January 9, 2015
- Last Update Date
- January 9, 2015
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 730 E Clark St
#4657
Pocatello, ID 83205-5401 - City
- Pocatello
- State
- Idaho
- ZIP
- 83205-5401
- Country
- US
- Phone Number
- 619-838-4593
✉Business Mailing Address
- Address
- 9344 National Blvd Apt 11
Los Angeles, CA 90034-2925 - City
- Los Angeles
- State
- CA
- ZIP
- 90034-2925
- Phone Number
- 619-838-4593
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| General Acute Care Hospital, Rural | 282NR1301X | Yes | 728144 | CA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Pocatello →?Frequently Asked Questions
What is the NPI number of 1958?
The NPI number of 1958 is 1013306307. It was assigned on January 9, 2015 and is currently active in the NPPES registry.
What is the specialty of 1958?
1958 is registered under the primary taxonomy General Acute Care Hospital, Rural (code 282NR1301X) and holds license No. 728144 (CA).
Where does 1958 practice?
The practice location is 730 E Clark St, #4657, Pocatello, ID 83205-5401. The office can be reached at 619-838-4593 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013306307 directly on the NPPES registry website at npiregistry.cms.hhs.gov.