# AAA AMERICAN HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1912378787
- **Authorized official:** ALBAN HATCH (MANAGER)
- **Authorized official phone:** (208) 200-3000

## Contact information

- **Practice address:** 1301 E 17TH ST STE 5, IDAHO FALLS, ID 83404-6273
- **Practice address phone:** (208) 538-3122
- **Mailing address:** 1301 E 17TH ST STE 5, IDAHO FALLS, ID 83404-6273
- **Mailing address phone:** (208) 538-3122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | M4260 | ID | Yes |
| 363L00000X | Nurse Practitioner | NP 1389A | ID | — |

## Other

- **Enumeration date:** 10/19/2015
- **Last updated:** 10/19/2015