| NPI | 1699746198 |
|---|---|
| Doing Business As | BEACON HOSPITAL OF POCATELLO |
| Entity Type | Organization |
| Authorized Contact | CRAE T BERRETT Owner 208-251-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ID 37) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-08-22 |