OrganizationActive
Advanced Healthcare Solutions LLC
NPI 1700803632 · Urgent Care Clinic/Center · Pocatello, ID
Provider details
- NPI number
- 1700803632
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randy Vawdrey, Coo(208) 478-7422
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
495 Yellowstone Ave
Pocatello, ID 83201-4531
Phone: (208) 478-7422
Fax: (208) 478-1515
Approximate (ZIP-level) locationGet directions
Mailing address
495 Yellowstone Ave
Pocatello, ID 83201-4531
Other names (DBA / former)
- Doing business as
- Physicians Immediate Care Center
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2016-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.