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PHS AMBULATORY SERVICES LLC
NPI 1306524152
Clinic/Center - Urgent Care in Pocatello, ID

Active since July 10, 2023
2850 OLYMPUS DR, POCATELLO, ID 83201(208) 239-2273 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2023, Jul 10, 2023 (2 updates tracked since 2023).

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

NPI1306524152
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePHS AMBULATORY SERVICES LLC
Location Address2850 OLYMPUS DRPocatello, ID 83201-2271
Mailing Address340 Seven Springs Way Ste 100Brentwood, TN 37027-5697
Phone(208) 239-2273
Organization SubpartYesParent: Pocatello Health System, Llc
Authorized OfficialStephen PetrovichEvp General Counsel · (615) 296-3594
Enumeration DateJuly 10, 2023
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1306524152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
2850 OLYMPUS DR, Pocatello, ID 83201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

GEORGINA RAFIELITA MARSHALL APRN
Nurse Practitioner (Family)
2850 OLYMPUS DR
POCATELLO, ID 83201
Bannock County (208) 239-2273
MS. YOLANDA RODRIGUEZ-VALDIVIA MD
Family Medicine
2850 OLYMPUS DR
POCATELLO, ID 83201
Bannock County (208) 239-3815
JACOB SCOTT RAMSEY
Physician Assistant
2850 OLYMPUS DR
POCATELLO, ID 83201
Bannock County (208) 239-2273
BRADLEY BRENT LOWDER NP-C
Nurse Practitioner (Family)
2850 OLYMPUS DR
POCATELLO, ID 83201
Bannock County (208) 239-2273
GABRIELA ANGHEL MD
Internal Medicine
2850 OLYMPUS DR
POCATELLO, ID 83201
Bannock County (208) 239-3815
SHEENA BLOCKER FNP-C
Nurse Practitioner
2850 OLYMPUS DR
POCATELLO, ID 83201
Bannock County (208) 239-2273
MARGARET ELIZABETH JABLONSKI NP-C
Nurse Practitioner (Family)
2850 OLYMPUS DR
POCATELLO, ID 83201
Bannock County (208) 239-3815
NATHAN D MATSON PA-C
Physician Assistant
2850 OLYMPUS DR
POCATELLO, ID 83201
Bannock County (208) 239-2273

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.

What insurance does Phs Ambulatory Services LLC accept?

Health plans from Moda Health Plan, Inc. 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 2 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.