| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1083852727 | POCATELLO HEALTH SERVICES, LLC | PO BOX 4168 | POCATELLO | ID | 832054168 | |||
| 1215165485 | POCATELLO HEALTH SERVICES, LLC | PO BOX 4168 | POCATELLO | ID | 832054168 | |||
| 1497051544 | POCATELLO HEALTH SERVICES, LLC | PO BOX 4168 | POCATELLO | ID | 832054168 | |||
| 1184067613 | ADDITON | MARA | PO BOX 4168 | POCATELLO | ID | 832054168 | ||
| 1669858734 | PACKER | ADAM | PO BOX 4168 | POCATELLO | ID | 832054168 |