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Portneuf Asc, LLC

Ambulatory Surgical Clinic/Center in Pocatello, ID · enumerated 2017 · authorized official Stephen Petrovich, Evp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871016071

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Registry record

Entity type Organization (Type 2)
Legal business name Portneuf Asc, LLC
Parent organization Pocatello Health System, LLC
Practice address 1151 Hospital Way Bldg A, Pocatello, ID, 83201
Fax (208) 232-6618
Enumeration date Jul 19, 2017
Last updated in NPPES Jul 19, 2017

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Stephen Petrovich
Title Evp

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-07-19. Verify at npiregistry.cms.hhs.gov.
Where is Portneuf Asc, LLC located?
The practice location on file with NPPES is in Pocatello, ID.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-07-19.