PORTNEUF ASC, LLC – NPI #1871016071
Clinic/Center

PORTNEUF ASC, LLC is an AHC clinic located in POCATELLO, ID. NPPES has assigned the NPI number 1871016071 to PORTNEUF ASC, LLC on July 19, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PORTNEUF ASC, LLC below.

NPI Profile for
PORTNEUF ASC, LLC

NPI Number
1871016071
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PORTNEUF ASC, LLC
Primary location
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201-5091
Phone: (208) 232-6616 Fax: (208) 232-6618
Mailing address
1 BURTON HILLS BLVD STE 250
NASHVILLE, TN 37215-6195
Phone: (615) 296-3000 Fax: (615) 296-6227
Organization Subpart
Yes - PORTNEUF ASC, LLC is subpart of another organization.
Authorized Official
STEPHEN PETROVICH
EVP
Phone: (615) 296-3000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.