Pocatello Hospital LLC
NPI 1295777274ActiveOrganization· Psychiatric Unit· Pocatello, ID
Psychiatric 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 | 1295777274 |
|---|---|
| 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 |
|---|---|---|---|
| Psychiatric Unit Primary | 273R00000X | H12 | ID |
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 - Hospital (ID) |
|---|