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Organization

AAA AMERICAN HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN HATCH (OWNER)
(208) 538-3122
Entity
Organization

Contact information

Practice address
1301 E 17TH ST, IDAHO FALLS, ID 83404-6273
(208) 538-3122
Mailing address
665 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4072
(208) 419-0144
(208) 789-2705

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103T00000X
Psychologist
111N00000X
Chiropractor
171M00000X
Case Manager/Care Coordinator
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208D00000X
General Practice Physician
225100000X
Physical Therapist
251S00000X
Community/Behavioral Health Agency
261QP3300X
Pain Clinic/Center
363A00000X
Physician Assistant
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
12/10/2012
Last updated
10/26/2020
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