ADVANCED HEALLHCARE SOLUTIONS LLC (NPI# 1023392800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023392800 |
| Entity Type | Organization |
| Organization Name | ADVANCED HEALLHCARE SOLUTIONS LLC |
| Other Organization Name | PHYSICIANS IMMEDIATE CARE CENTER |
| Practice Address |
134 W Chubbuck Rd Chubbuck ID 83202-2315 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 2082320021 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-10-17 |
| Authorized Official Name | SAMANTHA W. BAAB (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2082320021 |
| Authorized Official Credential | NP |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCED HEALLHCARE SOLUTIONS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Physicians Immediate Care Center | Doing Business As Name - Organization |
| Street Address |
134 W CHUBBUCK RD |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174544688 | Grant Dono Finn | Chiropractor | 134 W Chubbuck Rd, Suite A, Chubbuck, ID 83202-2315 | 2006-07-21 |
| 1881170611 | Wesley Ward | Nurse Practitioner | 134 W Chubbuck Rd, Chubbuck, ID 83202-2338 | 2018-07-15 |
| 1770924375 | David Jim Mcgregor | Nurse Practitioner | 134 W Chubbuck Rd, Chubbuck, ID 83202-2315 | 2013-07-11 |
| 1710232616 | Trilby M Wedler | Nurse Practitioner | 134 W Chubbuck Rd, Chubbuck, ID 83202-2315 | 2012-07-17 |
| 1407177637 | Samantha Jd Baab | Nurse Practitioner | 134 W Chubbuck Rd, Chubbuck, ID 83202-2315 | 2010-06-22 |
| 1669642302 | Finn Chiropractic,pllc | Clinic/Center | 134 W Chubbuck Rd, Suite A, Chubbuck, ID 83202-2315 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912307885 | Mederx, LLC | Non-Pharmacy Dispensing Site | 922 W Colchester Dr, Eagle, ID 83616-5892 | 2014-08-28 |
| 1114299666 | Healthy Habits Wellness Clinic Inc | Non-Pharmacy Dispensing Site | 14 S Baltic Pl, Meridian, ID 83642-5935 | 2012-01-30 |
| 1821342247 | Madison Memorial Hospital | Non-Pharmacy Dispensing Site | 450 E Main St, Rexburg, ID 83440-2048 | 2012-11-07 |
| 1114290566 | Healthy Habits Wellness Clinic Inc | Non-Pharmacy Dispensing Site | 5216 Cleveland Blvd, Caldwell, ID 83607-8123 | 2012-02-15 |
| 1598035917 | P. Roman Burk Dpm, PC | Non-Pharmacy Dispensing Site | 1818 S 10th Ave, Suite 250, Caldwell, ID 83605-4803 | 2012-01-02 |
| 1649556325 | Pain Center, Inc. | Non-Pharmacy Dispensing Site | 1673 W Shoreline Dr, Ste 140, Boise, ID 83702-6750 | 2011-10-26 |
| 1851676258 | Zoe Interventional Pain Management | Non-Pharmacy Dispensing Site | 1341 E 17th St, Idaho Falls, ID 83404-6235 | 2011-10-17 |
| 1134404718 | Zoe Interventional Pain Management | Non-Pharmacy Dispensing Site | 1352 E Center St, Suite A, Pocatello, ID 83201-4734 | 2011-10-14 |
| 1326322843 | Upper Valley Family Medicine Pllc | Non-Pharmacy Dispensing Site | 711 Rigby Lake Dr, Suite 115, Rigby, ID 83442-5192 | 2011-10-03 |
| 1144504663 | Advanced Healthcare Solutions LLC | Non-Pharmacy Dispensing Site | 950 Hospital Way, Pocatello, ID 83201-2789 | 2011-10-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.