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POCATELLO FAMILY MEDICINE
NPI 1992032098
Clinic/Center - Primary Care in Pocatello, ID

Active since November 10, 2009
465 MEMORIAL DR, POCATELLO, ID 83201(208) 239-2110(208) 239-2145 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pocatello Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POCATELLO FAMILY MEDICINE (NPI 1992032098) is a healthcare organization registered as a primary care in Pocatello, Idaho and active in the NPI registry since November 2009. The organization lists John Abreu, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1992032098
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePHS MD #1, LLC
Location Address465 MEMORIAL DRPocatello, ID 83201-4008
Mailing AddressPo Box 4728Pocatello, ID 83205-4728 · (208) 239-2110 · Fax (208) 239-2145
Phone(208) 239-2110
Fax(208) 239-2145
Organization SubpartYesParent: Pocatello Health Services, Llc
Authorized OfficialJohn AbreuAdministrative Director · (208) 239-2110
Enumeration DateNovember 10, 2009
Last NPPES UpdateMarch 2, 2010
✔ NPI 1992032098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
465 MEMORIAL DR, Pocatello, ID 83201
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Other Names 1

Doing Business AsPocatello Family Medicine

Other Providers at the Same Location NPPES 20

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

DR. JORDIN MILLWARD PHARMD
Pharmacist (Pharmacotherapy)
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-3387
KATELYN BERCAW DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862
TYLER GEYEN DDS
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-3289
DR. CORY VEIGEL DMD
Dentist (General Practice)
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-6000
CHAD REILLY PEXTON DDS
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-6000
BRANDON PACE DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862
DR. BRADLEY YAMASHITA BEAUFORT DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-4700
SHAYLOR BRINGHURST MD
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862

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 MD #1, LLC's NPI number?

The NPI number for Phs MD #1, LLC is 1992032098. It was assigned to this organization in the NPPES registry on November 10, 2009. The provider is doing business as Pocatello Family Medicine.

Where is Phs MD #1, LLC located?

Phs MD #1, LLC is located at 465 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 239-2110.

What is Phs MD #1, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Phs MD #1, LLC was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.