NPIMap

Organization Active NPI

Aaa American Healthcare LLC

Doing business as AmeriHealth

  • Prevention Professional
  • Idaho Falls, ID
National Provider Identifier
1205495371
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
AAA AMERICAN HEALTHCARE LLC
Doing business as
AmeriHealth
Practice address
665 John Adams Pkwy
Idaho Falls, ID 83401-4072
Phone
(208) 538-3122
Fax
(208) 789-2705
NPI assigned
Jun 11, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
AAA AMERICAN HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan Hatch
Title
Owner
Phone
(208) 538-3122

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Health Educator 174H00000X NU
Prevention Professional 405300000X NU Primary

Addresses

Primary practice location

665 John Adams Pkwy
Idaho Falls, ID 83401-4072

Mailing address

1327 E 17TH St
Idaho Falls, ID 83404-6235
Phone (208) 538-3122

Other names 1

  • AmeriHealth Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://static.practicefusion.com/apps/ehr/index.html?#/PF/settings/all Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Aaa American Healthcare LLC6 organizations share this tax ID, including this one
Part of
Aaa American Healthcare LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1205495371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046235",
            "telephone_number": "208-538-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 JOHN ADAMS PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014072",
            "telephone_number": "208-538-3122",
            "fax_number": "208-789-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA AMERICAN HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AAA AMERICAN HEALTHCARE LLC",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-538-3122"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://static.practicefusion.com/apps/ehr/index.html?#/PF/settings/all",
            "affiliation": "N",
            "endpointDescription": "Practice Fusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "665 John Adams Pkwy",
            "city": "Idaho Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834014072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AmeriHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.