OrganizationActive
Primary Care Specialists, PA
NPI 1508875881 · Primary Care Clinic/Center · Pocatello, ID
Provider details
- NPI number
- 1508875881
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Mansfield, President(208) 234-2300
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
110 Vista Drive
Pocatello, ID 83201
Phone: (208) 234-2300
Fax: (208) 234-0026
Street-level locationGet directions
Mailing address
110 Vista Drive
Pocatello, ID 83201
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2012-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.