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1306524152
PHS AMBULATORY SERVICES LLC
POCATELLO, ID
NPI
1306524152
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Entity Type
Organization
Authorized Contact
STEPHEN PETROVICH
EVP General Counsel
615-296-3594
Organization Subpart ?
Yes
Primary Taxonomy
261QU0200X Clinic/Center, Urgent Care
Enumeration Date
2023-07-10
Last Update Date
2023-10-03
Business Address
PHS AMBULATORY SERVICES LLC
2850 OLYMPUS DR
POCATELLO, ID 83201-2271
Phone number: 208-239-2273
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Mailing Address
PHS AMBULATORY SERVICES LLC
340 SEVEN SPRINGS WAY STE 100
BRENTWOOD, TN 37027-5697
Phone number:
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