Aaa American Healthcare Llc | |
1301 E 17th St Ste 5 Idaho Falls ID 83404-6273 | |
(208) 538-3122 | |
Not Available |
Full Name | Aaa American Healthcare Llc |
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Speciality | General Practice |
Location | 1301 E 17th St Ste 5, Idaho Falls, Idaho |
Authorized Official Name and Position | Alban Hatch (MANAGER) |
Authorized Official Contact | 2082003000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aaa American Healthcare Llc 1301 E 17th St Ste 5 Idaho Falls ID 83404-6273 Ph: (208) 538-3122 | Aaa American Healthcare Llc 1301 E 17th St Ste 5 Idaho Falls ID 83404-6273 Ph: (208) 538-3122 |
NPI Number | 1912378787 |
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Provider Enumeration Date | 10/19/2015 |
Last Update Date | 10/19/2015 |
Identifier | Type | State | Issuer |
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1912378787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | M4260 (Idaho) | Primary |
363L00000X | Nurse Practitioner | NP 1389A (Idaho) | Secondary |
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