PHYSICIANS IMMEDIATE CARE CENTER
NPI 1023392800
Non-Pharmacy Dispensing Site in Chubbuck, ID
NPI Status: Active since September 28, 2011
Contact Information
134 W CHUBBUCK RD
CHUBBUCK, ID
ZIP 83202
Phone: (208) 232-0021
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 13D1096966
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-25-2028
About PHYSICIANS IMMEDIATE CARE CENTER
This page provides the complete NPI Profile along with additional information for Physicians Immediate Care Center, a provider established in Chubbuck, Idaho operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1023392800 assigned on September 2011. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Physicians Immediate Care Center. The authorized official of this NPI record is Samantha W. Baab Np (Medical Director)
- NPI
- 1023392800
- Provider Legal Name
- ADVANCED HEALLHCARE SOLUTIONS LLC
- Other Organization Name
- PHYSICIANS IMMEDIATE CARE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 134 W CHUBBUCK RD CHUBBUCK, ID 83202
- Location Phone
- (208) 232-0021
- Mailing Address
- 2980 N BEVERLY GLEN CIR SUITE 301 LOS ANGELES, CA 90077
- Mailing Phone
- (310) 474-9809
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-28-2011
- Last Update Date
- 10-17-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- 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.)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D1096966
- Facility Type
- Physician Office
- Certificate Effective Date
- May 26, 2026
- Certificate Expiration Date
- May 25, 2028
- Laboratory Director
- ETHAN L. MCCARTY
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Physicians Immediate Care Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023392800, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
CHUBBUCK, ID 83202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023392800, enumerated as an "organization" on September 28, 2011.
The provider is located at 134 W CHUBBUCK RD CHUBBUCK, ID 83202 and the phone number is (208) 232-0021.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
