Phs Ambulatory Services LLC
NPI 1306524152 · Urgent Care Clinic/Center · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phs Ambulatory Services LLC is a Urgent Care Clinic/Center organization in Pocatello, ID (NPI 1306524152).
Provider details
- NPI number
- 1306524152
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Pocatello Health System, LLC
- Organization subpart
- Yes
- Authorized official
- Stephen Petrovich, Evp General Counsel(615) 296-3594
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-10
- Last updated
- 2023-10-03
- Certified
- 2023-10-03
Frequently asked questions
- What is Phs Ambulatory Services LLC's NPI number?
- Phs Ambulatory Services LLC's National Provider Identifier (NPI) is 1306524152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phs Ambulatory Services LLC?
- Phs Ambulatory Services LLC is classified in the NPPES registry as Urgent Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Phs Ambulatory Services LLC located?
- Phs Ambulatory Services LLC's practice location on file with NPPES is 2850 Olympus Dr, Pocatello, ID 83201-2271.
- What is Phs Ambulatory Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Phs Ambulatory Services LLC is (208) 239-2273.
- Does Phs Ambulatory Services LLC accept Medicare?
- Phs Ambulatory Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phs Ambulatory Services LLC?
- The authorized official listed on Phs Ambulatory Services LLC's NPPES record is Stephen Petrovich, Evp General Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phs Ambulatory Services LLC's NPI active?
- Yes — Phs Ambulatory Services LLC's NPI (1306524152) is active in the NPPES registry as of the last update on 2023-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.