Pocatello Hospital LLC
NPI 1760610935ActiveOrganization· Internal Medicine· Pocatello, ID
Internal Medicine in Pocatello, Idaho, registered in NPPES in June 2009. The authorized official on file is Stephen C. Petrovich, Evp, General Counsel.
Overview
| NPI | 1760610935 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2009 |
| Last updated in NPPES | Apr 19, 2022 |
| Certified by provider | Apr 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| General Acute Care Hospital | 282N00000X | 12 | ID |
| Nurse Anesthetist, Certified Registered | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
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