OrganizationActive
Phs Ambulatory Services LLC
NPI 1306524152 · Urgent Care Clinic/Center · Pocatello, ID
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
Practice location
2850 Olympus Dr
Pocatello, ID 83201-2271
Phone: (208) 239-2273
Approximate (ZIP-level) locationGet directions
Mailing address
340 Seven Springs Way Ste 100
Brentwood, TN 37027-5697
Registry dates
- Enumerated
- 2023-07-10
- Last updated
- 2023-10-03
- Certified
- 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.