Moonlight Mountain Recovery, Inc
Specialty details in registry · Pocatello, ID
At a glance
5230 W Moonlight Mine Rd, Pocatello, ID 83201-9013
NPPES record updated Sep 22, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
5230 W Moonlight Mine RdPocatello, ID 83201-9013
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 324500000X
- Enumeration date
- May 18, 2018
- Record updated
- Sep 22, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
101Y00000X
Specialty details in registry
261QM0801X
Specialty details in registry
261QM0850X
Specialty details in registry
261QR0405X
Specialty details in registry
324500000X · Primary
License reported: 1 ID
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
5230 W Moonlight Mine RdPocatello, ID 83201-9013
- Phone
- (208) 505-9990
Mailing address
PO BOX 261HEBER CITY, UT 840320261
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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