PCS PROCEDURE SUITE LLC NPI 1659029411

NPI Information

  • NPI: 1659029411
  • Provider Name: PCS PROCEDURE SUITE LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 110 VISTA DR
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 234-2300

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NPI Details

PCS PROCEDURE SUITE LLC is an ambulatory surgical clinic center in Pocatello, ID. PCS PROCEDURE SUITE LLC NPI is 1659029411. The provider is registered as an organization entity type.

The provider's business location address is:

110 VISTA DR
POCATELLO, ID
ZIP 83201-824
Phone: (208) 234-2300
Fax: (208) 234-0026

The provider's authorized official is Mark L Mansfield .
The authorized official title is Owner and has the following contact phone number (208) 234-2300.

The enumeration date for this NPI number is 3/11/2022 and was last updated on 9/28/2023.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

NPI Synchronization or Removal

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