Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phs MD #1, LLC

Organization Primary Care Clinic/Center · NPI 1124355813

Phs MD #1, LLC is a Primary Care Clinic/Center in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2009.

Licensed in
ID
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

651 Memorial Dr
Pocatello, ID 83201-4071
Phone: (208) 239-2110
Fax: (208) 239-2145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X (ID)

Record details

NPI number1124355813
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPocatello Health Services, LLC
Authorized official John Abreu — Cfo · (208) 239-2110
Other names Portneuf Medical Practices
NPI enumeratedNovember 17, 2009
Last updated in NPPESMarch 2, 2010
Mailing addressPo Box 4168, Pocatello, ID 83205-4168

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