Phs Ambulatory Services LLC

NPI #1306524152 in Pocatello, Idaho

Provider Information

NPI Number
1306524152
Entity Type
Organization
Organization Name
Phs Ambulatory Services LLC
Subpart
Yes (part of a larger organization)
Parent Organization
POCATELLO HEALTH SYSTEM, LLC
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Jul 10, 2023
Last Updated
Oct 3, 2023

Practice Location

Address
2850 OLYMPUS DR
State
Idaho
ZIP Code
83201-2271
Phone
(208) 239-2273

Authorized Official

Name
STEPHEN PETROVICH
Title
EVP GENERAL COUNSEL
Phone
(615) 296-3594

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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