Organization
AAA AMERICAN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBAN HATCH (MANAGER)
(208) 200-3000
Entity
Organization
Contact information
Practice address
1301 E 17TH ST STE 5, IDAHO FALLS, ID 83404-6273
(208) 538-3122
Mailing address
1301 E 17TH ST STE 5, IDAHO FALLS, ID 83404-6273
(208) 538-3122
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M4260
ID
363L00000X
Nurse Practitioner
NP 1389A
ID
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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