Pocatello Hospital LLC
NPI 1144262114ActiveOrganization· Rehabilitation Unit· Pocatello, ID
Rehabilitation Unit in Pocatello, Idaho, registered in NPPES in June 2006, part of Portneuf Medical Center. The authorized official on file is Stephen C. Petrovich, Evp, General Counsel. Enrolled in Medicare as part a provider - hospital.
Overview
| NPI | 1144262114 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Portneuf Medical Center |
| NPI issued | Jun 12, 2006 |
| Last updated in NPPES | Apr 19, 2022 |
| Certified by provider | Apr 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Unit Primary | 273Y00000X | H12 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Hospital (ID) |
|---|