NPI age
2 years
Enumerated 2023-07-10
● Active Type 2 · Organization
Subpart
Phs Ambulatory Services Llc
Phs Ambulatory Services Llc is 1 of 41 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Petrovich
Evp General Counsel
Last NPPES update
2023-10-03
Source: monthly bulk 2026-05
How this organization compares
Across 41 active clinic/center providers in Idaho.
NPI age
2 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-07Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
2850 Olympus Dr
Pocatello, ID 832012271
Mailing address
340 Seven Springs Way Ste 100
Brentwood, TN 370275697
Authorized official
Stephen Petrovich
Evp General Counsel
📞 6152963594
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Gabriela Anghel, MD Internal Medicine NPI 1598196784
- Sheena Blocker, FNP-C Nurse Practitioner NPI 1659953917
- Bradley Lowder, NP-C Nurse Practitioner NPI 1528526241
- Georgina Marshall, APRN Nurse Practitioner NPI 1083578942
- Nathan Matson, PA-C Physician Assistant NPI 1962073619
- Jacob Ramsey Physician Assistant NPI 1508594862
- Yolanda Rodriguez-Valdivia, MD Family Medicine NPI 1093701351
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
Subpart of Pocatello Health System, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.