Division of Veterans Services
NPI 1285624064ActiveOrganization· Skilled Nursing Facility· Pocatello, ID
Skilled Nursing Facility in Pocatello, Idaho, registered in NPPES in October 2005. The authorized official on file is Tracy Schaner, Deputy Chief Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1285624064 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2005 |
| Last updated in NPPES | Feb 24, 2026 |
| Certified by provider | Feb 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 92 | ID |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (ID) |
|---|
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