PHS AMBULATORY SERVICES LLC
NPI 1306524152
Clinic/Center - Urgent Care in Pocatello, ID
About Phs Ambulatory Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHS AMBULATORY SERVICES LLC (NPI 1306524152) is a healthcare organization registered as an urgent care in Pocatello, Idaho and active in the NPI registry since July 2023. The organization lists Stephen Petrovich, Evp General Counsel, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Phs Ambulatory Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Phs Ambulatory Services LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Phs Ambulatory Services LLC's NPI number?
The NPI number for Phs Ambulatory Services LLC is 1306524152. It was assigned to this organization in the NPPES registry on July 10, 2023.
Where is Phs Ambulatory Services LLC located?
Phs Ambulatory Services LLC is located at 2850 Olympus Dr, Pocatello, ID 83201. The listed phone number is (208) 239-2273.
What is Phs Ambulatory Services LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Phs Ambulatory Services LLC enrolled in Medicare?
Yes. Phs Ambulatory Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Phs Ambulatory Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Phs Ambulatory Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Family Practice (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Phs Ambulatory Services LLC accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare and Select Health list Phs Ambulatory Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Phs Ambulatory Services LLC was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Phs Ambulatory Services Llc · NPI 1306524152
Urgent Care organization in Pocatello, Idaho. Organization record, active in the CMS NPPES registry since July 10, 2023.
## Identity
- **NPI:** 1306524152 (Entity type: Organization)
- **Enumerated:** July 10, 2023
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** Yes (part of Pocatello Health System, Llc)
- **Authorized official:** Stephen Petrovich, EVP GENERAL COUNSEL
## Practice location
- **Address:** 2850 OLYMPUS DR, Pocatello, ID 83201-2271
- **Phone:** (208) 239-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1); 4 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1306524152) · Data from the CMS NPPES public registry.