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ADVANCED HEALLHCARE SOLUTIONS LLC NPI 1023392800


NPI Information

NPI: 1023392800
Provider Name: ADVANCED HEALLHCARE SOLUTIONS LLC

Doing Business As: PHYSICIANS IMMEDIATE CARE CENTER

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 13D1096966

Address:
134 W CHUBBUCK RD
CHUBBUCK, ID
ZIP 83202
Phone: (208) 232-0021
Get Directions

ADVANCED HEALLHCARE SOLUTIONS LLC is a non pharmacy dispensing site in Chubbuck, ID. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) ADVANCED HEALLHCARE SOLUTIONS LLC NPI is 1023392800. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians Immediate Care Center.

The provider's business location address is:

134 W CHUBBUCK RD
CHUBBUCK, ID
ZIP 83202-315
Phone: (208) 232-0021

The provider's authorized official is Samantha W. Baab .
The authorized official title is Medical Director and has the following contact phone number (208) 232-0021.

The CLIA number assigned to this NPI record is 13D1096966 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 10/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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