Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CarePROHEALTH
Nursing Care, Pediatric
Pocatello, Idaho
Provider NPI: 1063613495
Organization Information:Organization Name: PROHEALTH
Practice Location:
936 E CENTER ST POCATELLO, ID 83201 US
Tel: 208-235-6565 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
936 E CENTER ST POCATELLO, ID 83201 US
Tel: 208-235-6565 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | ||
| Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0027370 | ID | 05 | |
| 002736800 | DE | 05 | |
| 0027368 | ID | 05 | |
| 002737000 | ID | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin