# ADVANCED HEALLHCARE SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED HEALLHCARE SOLUTIONS LLC
- **Other names:** Physicians Immediate Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023392800
- **Legal business name:** ADVANCED HEALLHCARE SOLUTIONS LLC
- **Authorized official:** SAMANTHA W. BAAB NP (MEDICAL DIRECTOR)
- **Authorized official phone:** (208) 232-0021

## Contact information

- **Practice address:** 134 W CHUBBUCK RD, CHUBBUCK, ID 83202-2315
- **Practice address phone:** (208) 232-0021
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2011
- **Last updated:** 10/17/2011