OrganizationActive
Phs MD #1, LLC
NPI 1992032098 · Primary Care Clinic/Center · Pocatello, ID
Phs MD #1, LLC is a Primary Care Clinic/Center organization in Pocatello, ID (NPI 1992032098).
Provider details
- NPI number
- 1992032098
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Pocatello Health Services, LLC
- Organization subpart
- Yes
- Authorized official
- John Abreu, Administrative Director(208) 239-2110
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
465 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 239-2110
Fax: (208) 239-2145
Street-level locationGet directions
Mailing address
Po Box 4728
Pocatello, ID 83205-4728
Other names (DBA / former)
- Doing business as
- Pocatello Family Medicine
Registry dates
- Enumerated
- 2009-11-10
- Last updated
- 2010-03-02
Frequently asked questions
- What is Phs MD #1, LLC's NPI number?
- Phs MD #1, LLC's National Provider Identifier (NPI) is 1992032098, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phs MD #1, LLC?
- Phs MD #1, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Phs MD #1, LLC located?
- Phs MD #1, LLC's practice location on file with NPPES is 465 Memorial Dr, Pocatello, ID 83201-4008.
- What is Phs MD #1, LLC's phone number?
- The practice phone number listed in the NPPES registry for Phs MD #1, LLC is (208) 239-2110.
- Who is the authorized official for Phs MD #1, LLC?
- The authorized official listed on Phs MD #1, LLC's NPPES record is John Abreu, Administrative Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phs MD #1, LLC's NPI active?
- Yes — Phs MD #1, LLC's NPI (1992032098) is active in the NPPES registry as of the last update on 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.