NPIMap

Organization Active NPI

Aaa American Healthcare LLC

  • General Practice Physician
  • Idaho Falls, ID
National Provider Identifier
1912378787
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
M4260 Issued in ID
Legal business name
AAA AMERICAN HEALTHCARE LLC
Practice address
1301 E 17TH St Ste 5
Idaho Falls, ID 83404-6273
Phone
(208) 538-3122
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Alban Hatch
Title
Manager
Phone
(208) 200-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X M4260 ID Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X NP 1389A ID

Addresses

Primary practice location

1301 E 17TH St Ste 5
Idaho Falls, ID 83404-6273

Mailing address

1301 E 17TH St Ste 5
Idaho Falls, ID 83404-6273
Phone (208) 538-3122

National Provider Directory

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

Other organizations with this tax ID 5

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

Locations

1301 E 17th St
Ste 5
Idaho Falls, ID 83404
Phone (208) 538-3122

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1912378787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E 17TH ST STE 5",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046273",
            "telephone_number": "208-538-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E 17TH ST STE 5",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046273",
            "telephone_number": "208-538-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA AMERICAN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "ALBAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-200-3000"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "ID",
            "license": "M4260",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP 1389A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 19, 2015; 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.