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PHYSICIANS IMMEDIATE CARE CENTER
NPI 1700803632
Clinic/Center - Urgent Care in Pocatello, ID

Active since July 16, 2006CLIA 13D0520354 · Certificate of Compliance
495 YELLOWSTONE AVE, POCATELLO, ID 83201(208) 478-7422(208) 478-1515 Get Directions Write a Review

NPPES record last updated: June 1, 2016. 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 1700803632) is a healthcare organization registered as an urgent care in Pocatello, Idaho and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 27, 2027 and lists Randy Paul Vawdrey, Coo, as its authorized official.

NPPES Registry Identity

NPI1700803632
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameADVANCED HEALTHCARE SOLUTIONS LLC
Location Address495 YELLOWSTONE AVEPocatello, ID 83201-4531
Mailing Address495 Yellowstone AvePocatello, ID 83201-4531 · (208) 478-7422 · Fax (208) 478-1515
Phone(208) 478-7422
Fax(208) 478-1515
Organization SubpartNo
Authorized OfficialRandy Paul VawdreyCoo · (208) 478-7422
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 1, 2016
✔ NPI 1700803632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
495 YELLOWSTONE AVE, Pocatello, ID 83201
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Other Names 1

Doing Business AsPhysicians Immediate Care Center

Other Identifiers 1

Medicare PIN1369069ID

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 13D0520354

Physicians Immediate Care Pocatello · Pocatello, ID
Active · expires Apr 27, 2027
CLIA Number13D0520354
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorJay Warren Willey
Laboratory Phone(208) 478-7422
Laboratory LocationPhysicians Immediate Care Pocatello495 Yellowstone Ave, Pocatello, ID 83201
CLIA data matches this NPI record on: Address Phone
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 11

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

BRELAN J LANE DPT
Physical Therapist
495 YELLOWSTONE AVE, SUITE A
POCATELLO, ID 83201
Bannock County (208) 232-9198
MR. RANDY PAUL VAWDREY NP
Nurse Practitioner (Primary Care)
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 478-7422
JOSHUA SHANE BLANCHARD PA-C
Physician Assistant
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 478-7422
ADVANCED HEALTHCARE SOLUTIONS, LLC
Non-Pharmacy Dispensing Site
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 478-7422
MRS. CHARLYNN S. PERKES PA-C
Physician Assistant
495 YELLOWSTONE AVE, PHYSICIANS IMMEDIATE CARE CENTER
POCATELLO, ID 83201
Bannock County (208) 478-7422
LEATHIE YEAMAN APRN CNP
Nurse Practitioner (Family)
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 425-1620
MR. NICHOLAS A HALE PA
Physician Assistant
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 478-7422
DR. JAY WARREN WILLEY DO
Family Medicine
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 478-7422

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 Healthcare Solutions LLC's NPI number?

The NPI number for Advanced Healthcare Solutions LLC is 1700803632. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Physicians Immediate Care Center.

Where is Advanced Healthcare Solutions LLC located?

Advanced Healthcare Solutions LLC is located at 495 Yellowstone Ave, Pocatello, ID 83201. The listed phone number is (208) 478-7422.

What is Advanced Healthcare Solutions LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Advanced Healthcare Solutions LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D0520354) is associated with this NPI, valid through April 27, 2027. 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 Healthcare Solutions LLC was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.