# ADVANCED HEALTHCARE 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:** 1144504663
- **Legal business name:** ADVANCED HEALLHCARE SOLUTIONS LLC
- **Authorized official:** RANDY VAWDREY NP (COO)
- **Authorized official phone:** (208) 232-0021

## Contact information

- **Practice address:** 950 HOSPITAL WAY, POCATELLO, ID 83201-2789
- **Practice address phone:** (208) 232-0021
- **Mailing address:** 2980 N BEVERLY GLEN CIR STE 301, LOS ANGELES, CA 90077-1735
- **Mailing address phone:** (310) 474-9809

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2011
- **Last updated:** 10/03/2011