Pocatello Children & Adolescent Clinic
NPI 1700898822ActiveOrganization· Pediatrics· Pocatello, ID
Pediatrics in Pocatello, Idaho, registered in NPPES in August 2006, part of Pocatello Children's Clinic. The authorized official on file is Jessica Perry, Administrator.
Overview
| NPI | 1700898822 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pocatello Children's Clinic |
| NPI issued | Aug 13, 2006 |
| Last updated in NPPES | Apr 22, 2026 |
| Certified by provider | Apr 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pediatrics providers in Pocatello
- 1366508954
- 1992950802
- 1730367517
- 1447316799
- 1932527827
- 1346507845
- 1609844471
- 1497807044
- 1902241235
- 1962516583