PHYSICIANS IMMEDIATE CARE CENTER
NPI 1023392800
Non-Pharmacy Dispensing Site in Chubbuck, ID

Active since September 28, 2011CLIA 13D1096966 · Certificate of Compliance
134 W CHUBBUCK RD, CHUBBUCK, ID 83202(208) 232-0021 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Physicians Immediate Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIANS IMMEDIATE CARE CENTER (NPI 1023392800) is a healthcare organization registered as a non-pharmacy dispensing site in Chubbuck, Idaho and active in the NPI registry since September 2011. The organization holds a CLIA Certificate of Compliance certificate valid through May 25, 2028 and lists Samantha W. Baab, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1023392800
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameADVANCED HEALLHCARE SOLUTIONS LLC
Location Address134 W CHUBBUCK RDChubbuck, ID 83202-2315
Mailing Address2980 N Beverly Glen Cir, Suite 301Los Angeles, CA 90077-1726 · (310) 474-9809
Organization SubpartYes
Authorized OfficialSamantha W. BaabMedical Director · (208) 232-0021
Enumeration DateSeptember 28, 2011
Last NPPES UpdateOctober 17, 2011
NPI 1023392800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
134 W CHUBBUCK RD, Chubbuck, ID 83202

Other Names 1

Doing Business AsPhysicians Immediate Care Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 13D1096966

Physicians Immediate Care Center · Chubbuck, ID
Active · expires May 25, 2028
CLIA Number13D1096966
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorEthan L. Mccarty
Laboratory Phone(208) 237-7911
Laboratory LocationPhysicians Immediate Care Center134 W Chubbuck Rd, Chubbuck, ID 83202
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nutritionist
134 W CHUBBUCK RD
CHUBBUCK, ID 83202
Chiropractor
134 W CHUBBUCK RD, SUITE A
CHUBBUCK, ID 83202
Nurse Practitioner (Family)
134 W CHUBBUCK RD
CHUBBUCK, ID 83202
Physician Assistant
134 W CHUBBUCK RD
CHUBBUCK, ID 83202
Clinic/Center (Health Service)
134 W CHUBBUCK RD, SUITE A
CHUBBUCK, ID 83202
Nurse Practitioner (Family)
134 W CHUBBUCK RD
CHUBBUCK, ID 83202
Nurse Practitioner (Family)
134 W CHUBBUCK RD
CHUBBUCK, ID 83202
Nurse Practitioner (Family)
134 W CHUBBUCK RD
CHUBBUCK, ID 83202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Heallhcare Solutions LLC's NPI number?

The NPI number for Advanced Heallhcare Solutions LLC is 1023392800. It was assigned to this organization in the NPPES registry on September 28, 2011. The provider is doing business as Physicians Immediate Care Center.

Where is Advanced Heallhcare Solutions LLC located?

Advanced Heallhcare Solutions LLC is located at 134 W Chubbuck Rd, Chubbuck, ID 83202. The listed phone number is (208) 232-0021.

What is Advanced Heallhcare Solutions LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Advanced Heallhcare Solutions LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D1096966) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Heallhcare Solutions LLC was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.