# AMMON MEDICAL AND URGENT CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750585907
- **Authorized official:** DR. TERRY N AMIEL M.D. (OWNER)
- **Authorized official phone:** (208) 529-2828

## Contact information

- **Practice address:** 3456 E 17TH ST, SUITE 125, AMMON, ID 83406-6757
- **Practice address phone:** (208) 529-2828
- **Practice address fax:** (208) 529-3890
- **Mailing address:** 3456 E 17TH ST, SUITE 125, AMMON, ID 83406-6757
- **Mailing address phone:** (208) 529-2828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | M6533 | ID | Yes |

## Other

- **Enumeration date:** 06/12/2007
- **Last updated:** 12/12/2017