NPIMap

Organization Active NPI

Ammon Medical and Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Ammon, ID
National Provider Identifier
1750585907
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
M6533 Issued in ID
Legal business name
AMMON MEDICAL AND URGENT CARE PLLC
Practice address
3456 E 17TH St
Suite 125
Ammon, ID 83406-6757
Phone
(208) 529-2828
Fax
(208) 529-3890
NPI assigned
Jun 12, 2007
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Dr. Terry N Amiel, M.D.NPI 1194832832
Title
Owner
Phone
(208) 529-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X M6533 ID Primary

Addresses

Primary practice location

3456 E 17TH St
Suite 125
Ammon, ID 83406-6757

Mailing address

3456 E 17TH St
Suite 125
Ammon, ID 83406-6757
Phone (208) 529-2828

Other identifiers 1

IdentifierTypeStateIssuer
807158800MedicaidID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1750585907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 E 17TH ST",
            "address_2": "SUITE 125",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066757",
            "telephone_number": "208-529-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 E 17TH ST",
            "address_2": "SUITE 125",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066757",
            "telephone_number": "208-529-2828",
            "fax_number": "208-529-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMON MEDICAL AND URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "AMIEL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-529-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "ID",
            "license": "M6533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807158800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.