MEDICARE: LIFEPOINT REHAB PHYSICIAN SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1598492522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFEPOINT REHAB PHYSICIAN SERVICES LLC

Provider Business Mailing Address
First Line	:	330 SEVEN SPRINGS WAY
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5098
Country	:	US
Telephone Number	:	615-920-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 HOSPITAL WAY
Second Line	:
City	:	POCATELLO
State	:	ID
Zip	:	83201-5175
Country	:	US
Telephone Number	:	208-239-1000
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT VICE PRESIDENT
Name	:	CHARLOTTE LAWRENCE
Credential	:
Telephone Number	:	615-920-7688

Provider Enumeration Date	:	08/01/2022
Last Update Date	:	03/27/2023

Similar Medicare Providers

1104825892 — DR. GREGORY S HARRISON M.D.
Practice Location Address:

777 HOSPITAL WAY , SUITE 115
POCATELLO, ID
83201-5175

Practice Phone: 208-239-2260
Practice Fax: 208-239-3767

1043219694 — DR. ROBERT MICHAEL KENNEDY M.D.
Practice Location Address:

777 HOSPITAL WAY , G15
POCATELLO, ID
83201-5175

Practice Phone: 208-239-2722
Practice Fax: 208-239-3759

1992799894 — ANDREW W MCROBERTS M.D.
Practice Location Address:

777 HOSPITAL WAY , BUILDING A SUITE 201
POCATELLO, ID
83201-5175

Practice Phone: 208-239-2620
Practice Fax: 208-239-3778

1831184712 — LESLIE JEAN MCGOVERN PA-C, MHE, ATC, LAT
Practice Location Address:

777 HOSPITAL WAY
POCATELLO, ID
83201-5175

Practice Phone: 480-421-9700
Practice Fax: 480-421-9899

1790751055 — POCATELLO HOSPITAL LLC
Practice Location Address:

777 HOSPITAL WAY
POCATELLO, ID
83201-5175

Practice Phone: 208-239-1000
Practice Fax: 208-239-1934

1467428540 — DR. MATTHEW E WILLIAMSON D.O.
Practice Location Address:

777 HOSPITAL WAY , BLDG B
POCATELLO, ID
83201-5175

Practice Phone: 208-239-1000
Practice Fax:

1477501930 — CDS,PA
Practice Location Address:

777 HOSPITAL WAY , BLDG A, STE 300
POCATELLO, ID
83201-5175

Practice Phone: 208-232-6100
Practice Fax: 208-239-3403

Directions to “LIFEPOINT REHAB PHYSICIAN SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.