Healthcare Provider Details

I. General information

NPI: 1821250713
Provider Name (Legal Business Name): TANABELL HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/08/2022
Certification Date: 07/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 W QUINN ROAD
POCATELLO ID
83202-2425
US

IV. Provider business mailing address

1009 W QUINN RD
POCATELLO ID
83202-2425
US

V. Phone/Fax

Practice location:
  • Phone: 208-221-0481
  • Fax: 775-307-4049
Mailing address:
  • Phone: 208-221-0481
  • Fax: 775-307-4049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. TROY V BELL
Title or Position: PRESIDENT/CEO
Credential: MBA
Phone: 208-221-0481