Cc Pocatello LLC
NPI 1538517156ActiveOrganization· Family Medicine· Pocatello, ID
Family Medicine in Pocatello, Idaho, registered in NPPES in May 2016, part of Mountain View Hospital LLC. The authorized official on file is Joshua Tolman, Cao. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538517156 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mountain View Hospital LLC |
| NPI issued | May 25, 2016 |
| Last updated in NPPES | May 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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 B Supplier - Clinic/Group Practice (ID) |
|---|
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