AAA AMERICAN HEALTHCARE LLC (NPI# 1285979757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285979757 |
| Entity Type | Organization |
| Organization Name | AAA AMERICAN HEALTHCARE LLC |
| Practice Address |
1301 E 17th St Idaho Falls ID 83404-6273 |
| Mailing Address |
665 John Adams Pkwy Idaho Falls ID 83401-4072 |
| Practice Telephone | 2085383122 |
| Mailing Telephone | 2084190144 |
| Mailing Fax Number | 2087892705 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | RYAN HATCH (OWNER) |
| Authorized Official Telephone | 2085383122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1327 E 17th St, Idaho Falls, ID 834046235 | 2085383122 | |
| 30 Madison Professional Park, Rexburg, ID 834402058 | 2085381999 | |
| 396 Yellowstone Ave, Pocatello, ID 832014572 | 2082547733 | |
| 1995 E 17th St, Idaho Falls, ID 834046493 | 2085381999 | |
| 665 John Adams Pkwy, Idaho Falls, ID 834014072 | 2084190144 | |
| 3360 S 15th E, Idaho Falls, ID 834048321 | 2085228300 | |
| 400 Yellowstone Ave, Pocatello, ID 832014532 | 2082547733 | 2082406143 |
| 130 W Main St, Rexburg, ID 834401827 | 2083564459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205495371 | Aaa American Healthcare LLC | Health Educator | 665 John Adams Pkwy, Idaho Falls, ID 83401-4072 | 2019-06-11 |
| 1912378787 | Aaa American Healthcare LLC | Nurse Practitioner | 1301 E 17th St Ste 5, Idaho Falls, ID 83404-6273 | 2015-10-19 |
| 1477174910 | Aaa American Healthcare LLC | Community/Behavioral Health | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-06 |
| 1275154718 | Aaa American Healthcare LLC | Community/Behavioral Health | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-06 |
| 1740801505 | Aaa American Healthcare LLC | Case Management | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| 1356962112 | Aaa American Healthcare LLC | Peer Specialist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| Street Address |
1301 E 17TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174910 | Aaa American Healthcare LLC | Community/Behavioral Health | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-06 |
| 1427679984 | Valinda L Mikesell | Counselor | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-06 |
| 1275154718 | Aaa American Healthcare LLC | Community/Behavioral Health | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-06 |
| 1740801505 | Aaa American Healthcare LLC | Case Management | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| 1356962112 | Aaa American Healthcare LLC | Peer Specialist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| 1265051171 | Brent Holloway | Case Manager/Care Coordinator | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-04-10 |
| 1245706274 | Joel Bocanegra | Psychologist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410489 | Angelika H Gutenberger | Counselor | 211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401-4865 | 2019-11-04 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1124590302 | A Penney for Your Thoughts, LLC | Counselor | 1820 E 17th St Ste 190, Idaho Falls, ID 83404-6518 | 2018-12-27 |
| 1346790128 | Molli Gilchrist | Counselor | 760 K St Apt B, Idaho Falls, ID 83402-2770 | 2016-10-05 |
| 1508256850 | Itzel Montero | Counselor | 3442 S. 15th E., Idaho Falls, ID 83404 | 2015-01-26 |
| 1457610149 | Kimberly W. Johnson | Counselor | 1934 N 26th W, Idaho Falls, ID 83402-5319 | 2012-05-15 |
| 1477823490 | Annette Marie Cowley | Counselor | 1273 E 17th St, Idaho Falls, ID 83404-6126 | 2012-01-06 |
| 1619102183 | Quinn Blake Thibodeau | Counselor | 1891 Grandview Ct, Idaho Falls, ID 83402-2510 | 2009-05-27 |
| 1679711998 | New Journeys Inc | Counselor | 1047 Oxbow Ln, Idaho Falls, ID 83404-8351 | 2009-01-23 |
| 1093964041 | Nathan James Fullmer | Counselor | 4707 1st St, Idaho Falls, ID 83401-5771 | 2008-09-15 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on AAA AMERICAN HEALTHCARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.