ADVANCED HEALTHCARE SOLUTIONS, LLC (NPI# 1437432267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437432267 |
| Entity Type | Organization |
| Organization Name | ADVANCED HEALTHCARE SOLUTIONS, LLC |
| Practice Address |
495 Yellowstone Ave Pocatello ID 83201-4531 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 2084787422 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-10-17 |
| Authorized Official Name | JAY WILLEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2084787422 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCED HEALTHCARE SOLUTIONS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902361439 | Advanced Healthcare Solutions, LLC | Durable Medical Equipment & Medical Supplies | 100 Asma Blvd Ste 212-e, Lafayette, LA 70508-3858 | 2019-02-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | ADVANCED HEALTHCARE SOLUTIONS, LLC | 115 Malcolm Road, West Haven, CT 06516 |
| Colorado Business Entities | Advanced Healthcare Solutions, LLC | 111 South Calvert Street, Suite 2700, Baltimore, MD 21202 |
| Street Address |
495 YELLOWSTONE AVE |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376568493 | Randy Paul Vawdrey | Nurse Practitioner | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2006-07-12 |
| 1144869348 | Sydney Pia Goings | Nurse Practitioner | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2020-01-06 |
| 1972035772 | Mvh Pic LLC | Family Medicine | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2017-03-30 |
| 1336572858 | Brelan J Lane | Physical Therapist | 495 Yellowstone Ave, Suite A, Pocatello, ID 83201-4531 | 2013-08-20 |
| 1932449519 | Matthew Colt Andersen | Counselor | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2013-02-19 |
| 1558545624 | Charlynn S. Perkes | Physician Assistant | 495 Yellowstone Ave, Physicians Immediate Care Center, Pocatello, ID 83201 | 2007-12-24 |
| 1841487840 | Nic A Hale | Physician Assistant | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2007-10-03 |
| 1578665329 | Corey Layne Rasmussen | Specialist | 495 Yellowstone Ave, Suite A, Pocatello, ID 83201-9487 | 2006-09-02 |
| 1922029412 | Jay Warren Willey | Family Medicine | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2006-07-21 |
| 1700803632 | Advanced Healthcare Solutions LLC | Clinic/Center | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
|---|---|---|---|---|
| 1134404718 | Zoe Interventional Pain Management | Non-Pharmacy Dispensing Site | 1352 E Center St, Suite A, Pocatello, ID 83201-4734 | 2011-10-14 |
| 1144504663 | Advanced Healthcare Solutions LLC | Non-Pharmacy Dispensing Site | 950 Hospital Way, Pocatello, ID 83201-2789 | 2011-10-03 |
| 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 |
| 1326322843 | Upper Valley Family Medicine Pllc | Non-Pharmacy Dispensing Site | 711 Rigby Lake Dr, Suite 115, Rigby, ID 83442-5192 | 2011-10-03 |
| 1023392800 | Advanced Heallhcare Solutions LLC | Non-Pharmacy Dispensing Site | 134 W Chubbuck Rd, Chubbuck, ID 83202-2315 | 2011-09-28 |
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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.