Organization · NPI-2

Aaa American Healthcare LLC

Counselor, Mental Health · Idaho Falls, ID

NPI number1285979757

StatusActive

Last updated in NPPESOct 26, 2020

Details

NPI: 1285979757
Entity type: Organization (NPI-2)
Legal business name: Aaa American Healthcare LLC
Organization subpart: No
Enumeration date: Dec 10, 2012
Certification date: Oct 26, 2020
Last updated: Oct 26, 2020

Taxonomy and licenses

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

Practice location

1301 E 17th St
Idaho Falls, ID 83404-6273

Phone 208-538-3122

Mailing address

665 John Adams Pkwy
Idaho Falls, ID 83401-4072

Phone 208-419-0144 · Fax 208-789-2705

Other practice locations

1995 E 17th St
Idaho Falls, ID 83404-6493

Phone 208-538-1999

665 John Adams Pkwy
Idaho Falls, ID 83401-4072

Phone 208-419-0144

1327 E 17th St
Idaho Falls, ID 83404-6235

Phone 208-538-3122

30 Madison Professional Park
Rexburg, ID 83440-2058

Phone 208-538-1999

396 Yellowstone Ave
Pocatello, ID 83201-4572

Phone 208-254-7733

3360 S 15th E
Idaho Falls, ID 83404-8321

Phone 208-522-8300

400 Yellowstone Ave
Pocatello, ID 83201-4532

Phone 208-254-7733 · Fax 208-240-6143

130 W Main St
Rexburg, ID 83440-1827

Phone 208-356-4459

Authorized official

Ryan Hatch
Owner
2085383122

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