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Portneuf Medical Center

NPI 1578505335ActiveOrganization· Clinic/Center· Pocatello, ID

Clinic/Center in Pocatello, Idaho, registered in NPPES in June 2006. The authorized official on file is Johnathan Wilker, Vp Finance & Cfo.

Overview

NPI1578505335
StatusActive
Entity typeOrganization
NPI issuedJun 12, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000XH12ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Pocatello

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