OrganizationActive
Phs MD #1, LLC
NPI 1992032098 · Primary Care Clinic/Center · Pocatello, ID
Provider details
- NPI number
- 1992032098
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Pocatello Health Services, LLC
- Authorized official
- John Abreu, Administrative Director
Practice location
465 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 239-2110
Fax: (208) 239-2145
Mailing address
Po Box 4728
Pocatello, ID 83205-4728
Registry dates
- Enumerated
- 2009-11-10
- Last updated
- 2010-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.