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

NPI Status: Active since November 10, 2009

Contact Information

465 MEMORIAL DR
POCATELLO, ID
ZIP 83201
Phone: (208) 239-2110
Fax: (208) 239-2145

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  • Organization
  • Clinic/Center
  • Primary Care

About POCATELLO FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Pocatello Family Medicine, a primary care provider established in Pocatello, Idaho operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1992032098 assigned on November 2009. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Pocatello Family Medicine. The authorized official of this NPI record is John Abreu (Administrative Director)

NPI
1992032098
Provider Legal Name
PHS MD #1, LLC
Other Organization Name
POCATELLO FAMILY MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
465 MEMORIAL DR POCATELLO, ID 83201
Location Phone
(208) 239-2110
Location Fax
(208) 239-2145
Mailing Address
PO BOX 4728 POCATELLO, ID 83205
Mailing Phone
(208) 239-2110
Mailing Fax
(208) 239-2145
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-10-2009
Last Update Date
03-02-2010
Code Navigator

A primary care provider (PCP) like Pocatello Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN ABREU

Authorized Official Title
ADMINISTRATIVE DIRECTOR
Authorized Official Phone
(208) 239-2110

Reviews for POCATELLO FAMILY MEDICINE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992032098
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182034018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 0 + 3 + 4 + 0 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1992032098 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578555603DR. NICOLE MURDOCK PHARMD
Individual
Pharmacist (Pharmacotherapy)465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4467
1568458719DR. TRACY K. PETTINGER PHARM.D.
Individual
Pharmacist (Pharmacotherapy)465 MEMORIAL DR IDAHO STATE UNIVERSITY
POCATELLO, ID 83201
(208) 282-5012
1255315974 LANA BORGHOLTHAUS PA
Individual
Physician Assistant465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4700
1972663839DR. JOHN HANFORD DICKEY PH.D.
Individual
Psychologist (Clinical)465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4700
1831248962 EDWARD DESANO MD
Individual
Family Medicine465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4700
1144429549PROF. DAVID HACHEY PHARM.D.
Individual
Pharmacist (Pharmacotherapy)465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4700
1912228768DR. JOSHUA SVEN LUNN M.D.
Individual
Family Medicine465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4700
1316258098DR. ANDREA SUE RADABAUGH DDS
Individual
Dentist465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-6000
1245542596DR. TIMOTHY ROBERT JESSOP DDS
Individual
Dentist (General Practice)465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-6000
1326335134 KOLBY V JOHNSON M.D.
Individual
Family Medicine465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4421
1811277742DR. ANDREW WILLIAM BOHNSACK DDS
Individual
Dentist (General Practice)465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-3289
1255699773 JOHN THOMAS HOLMES PHARM.D.
Individual
Pharmacist (Pharmacotherapy)465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-5391
1750644225ISU FAMILY MEDICINE
Organization
Family Medicine465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4700
1720341209DR. TYLER FORREST MAYO D.O.
Individual
Family Medicine465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4508
1124373949DR. ERIK Z SOLBERG DDS
Individual
Dentist465 MEMORIAL DR
POCATELLO, ID 83201
(612) 916-0759
1659324499DR. JOSEPH NEIL RAGAN MD
Individual
Family Medicine465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4700
1588738769 DEREK LAYNE WRIGHT MD
Individual
Family Medicine465 MEMORIAL DR
POCATELLO, ID 83201
(208) 208-4700
1063851434DR. BRADLEY YAMASHITA BEAUFORT DO
Individual
Family Medicine465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4700
1972942340DR. AMIE MICHELLE RECKON M.D.
Individual
Family Medicine465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4700
1164861340 MELISSA KJOS M.D.
Individual
Family Medicine465 MEMORIAL DR
POCATELLO, ID 83201
(208) 282-4700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992032098, enumerated in the NPI registry as an "organization" on November 10, 2009

The provider is located at 465 Memorial Dr Pocatello, Id 83201 and the phone number is (208) 239-2110

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

This NPI record was last updated on November 10, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.