PCS ENDOSCOPY SUITE
NPI 1467979443
Clinic/Center - Ambulatory Surgical in Pocatello, ID

NPI Status: Active since August 29, 2017

Contact Information

110 VISTA DR
POCATELLO, ID
ZIP 83201
Phone: (208) 234-2300

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 13D1026192
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-27-2026

About PCS ENDOSCOPY SUITE

This page provides the complete NPI Profile along with additional information for Pcs Endoscopy Suite, a provider established in Pocatello, Idaho operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1467979443 assigned on August 2017. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Pcs Endoscopy Suite. The authorized official of this NPI record is Ned Hillyard (Cco)

NPI
1467979443
Provider Legal Name
MVH ENDOSCOPY LLC
Other Organization Name
PCS ENDOSCOPY SUITE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
110 VISTA DR POCATELLO, ID 83201
Location Phone
(208) 234-2300
Mailing Address
110 VISTA DR POCATELLO, ID 83201
Mailing Phone
(208) 234-2300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2017
Last Update Date
07-21-2022
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NED HILLYARD

Authorized Official Title
CCO
Authorized Official Phone
(208) 709-4571

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
13D1026192
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 28, 2024
Certificate Expiration Date
May 27, 2026
Laboratory Director
MARK L. MANSFIELD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pcs Endoscopy Suite to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PCS ENDOSCOPY SUITE

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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 1467979443, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 9 → 18 → 9 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 1 + 8 + 7 + 1 + 8 + 4 + 8 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1467979443.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Family Medicine
110 VISTA DR
POCATELLO, ID 83201
Family Medicine
110 VISTA DR
POCATELLO, ID 83201
Family Medicine
110 VISTA DR
POCATELLO, ID 83201
Physician Assistant
110 VISTA DR
POCATELLO, ID 83201
Internal Medicine (Clinical Cardiac Electrophysiology)
110 VISTA DR
POCATELLO, ID 83201
Family Medicine
110 VISTA DR
POCATELLO, ID 83201
Physician Assistant
110 VISTA DR
POCATELLO, ID 83201
Physician Assistant
110 VISTA DR
POCATELLO, ID 83201
Clinic/Center (Ambulatory Surgical)
110 VISTA DR
POCATELLO, ID 83201
Nurse Practitioner (Family)
110 VISTA DR
POCATELLO, ID 83201
Nurse Practitioner (Family)
110 VISTA DR
POCATELLO, ID 83201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467979443, enumerated as an "organization" on August 29, 2017.

The provider is located at 110 VISTA DR POCATELLO, ID 83201 and the phone number is (208) 234-2300.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Moda Health Plan, Inc. and PacificSource Health. Please consult your insurance carrier or call the provider to verify.