Prohealth is a Nursing Care, Pediatric in Pocatello, Idaho. Prohealth practices all healthcare services and medical treatments related to Nursing Care, Pediatric. The NPI Number for Prohealth is 1063613495. The last update date is 2008-04-17.
Prohealth's current location address is 936 E Center St, Pocatello, Idaho. You can contact this provider via phone number 2082356565 and fax number 2082357624. The mailing address for Prohealth is 936 E Center St, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prohealth |
|---|---|
| Address | 936 E Center St, Pocatello, Idaho |
| Phone Number | 2082356565 |
| Fax Number | 2082357624 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CNA OFFICE |
|---|---|
| Authorized Official Name | Sinclair Ann Pamela |
| Telephone Number | 2082356565 |
NPI Number Detail
| NPI Number | 1063613495 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2008-04-17 |
Provider Mailing Address Detail
| Address | 936 E Center St |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832015702 |
| Phone Number | 2082356565 |
| Fax Number | 2082357624 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Care, Pediatric |
|---|---|
| Taxonomy | 3140N1450X |
|
Definition: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restri |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 27370 | ID | -- | |
| 27368 | ID | -- | |
| 2737000 | ID | -- | |
| 2736800 | DE | -- |
Post Comment/ Review Below
What is the Prohealth's 1063613495?
The Prohealth's NPI (National Provider Identifier) Number is 1063613495. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Prohealth's facilities are situated?
The facilities of Prohealth are physically located at the following address: 936 E Center St, Pocatello, ID, 832015702.
What is the Prohealth's specialty and taxonomy code?
The Prohealth's specialty is Nursing Care, Pediatric, and the corresponding taxonomy code is 3140N1450X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063613495 to Prohealth?
The Centers for Medicare & Medicaid Services assigned the 1063613495 to Prohealth on 2007-05-31.
When was the information related to Prohealth most recently updated or refreshed?
The details pertaining to the Prohealth, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-17.
NPI Number: 1376546309
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