1958 – NPI #1013306307
General Acute Care Hospital

1958 is a general acute care hospital located in POCATELLO, ID. NPPES has assigned the NPI number 1013306307 to 1958 on January 09, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 282NR1301X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Rural

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 1958 below.

NPI Profile for
1958

NPI Number
1013306307
Enumeration Date

(more than 11 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
1958
Primary location
730 E CLARK ST
#4657
POCATELLO, ID 83205-5401
Phone: (619) 838-4593 Fax:
Mailing address
9344 NATIONAL BLVD APT 11
LOS ANGELES, CA 90034-2925
Phone: (619) 838-4593 Fax:
Organization Subpart
No
Authorized Official
LORAINE POWELL
REGISTERED NURSE
Phone: (619) 838-4593
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
282NR1301X
- General Acute Care Hospital / Rural (Primary)		 CA 728144

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.