PHS MD #1 LLC NPI 1992032098

NPI Information

NPI: 1992032098
Provider Name: PHS MD #1, LLC

Doing Business As: POCATELLO FAMILY MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
465 MEMORIAL DR
POCATELLO, ID
ZIP 83201
Phone: (208) 239-2110
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PHS MD #1, LLC is a primary care clinic center in Pocatello, ID. PHS MD #1, LLC NPI is 1992032098. The provider is registered as an organization entity type.
The provider Is Doing Business As Pocatello Family Medicine.

The provider's business location address is:

465 MEMORIAL DR
POCATELLO, ID
ZIP 83201-008
Phone: (208) 239-2110
Fax: (208) 239-2145

The provider's authorized official is John Abreu .
The authorized official title is Administrative Director and has the following contact phone number (208) 239-2110.

The enumeration date for this NPI number is 11/10/2009 and was last updated on 3/2/2010.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 11/14/2023

NPI Synchronization or Removal

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