AAA AMERICAN HEALTHCARE LLC (NPI# 1356962112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356962112 |
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 | 2085381999 |
Enumeration Date | 2020-05-04 |
Last Update Date | 2020-05-04 |
Authorized Official Name | CRISTY STIBAL (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 2085383122 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Other Name | Type Code |
---|---|
AmeriHealth | Doing Business As Name - Organization |
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 |
1285979757 | Aaa American Healthcare LLC | Psychologist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2012-12-10 |
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 |
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 |
1285979757 | Aaa American Healthcare LLC | Psychologist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2012-12-10 |
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 | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639779523 | Tracie Lyn Hansen | Peer Specialist | 560 Fairway Dr, Pocatello, ID 83201-2012 | 2020-10-29 |
1306481817 | Ability Health and Rehabilitation LLC | Peer Specialist | 10101 W Overland Rd Ste 110, Boise, ID 83709-1429 | 2019-11-08 |
1609426923 | Amie Hughes | Peer Specialist | 4737 S Afton Pl Ste A, Chubbuck, ID 83202-2317 | 2019-09-18 |
1184113482 | Kolleen Marie Wynn-gallipeau | Peer Specialist | 444 Hospital Way Ste 447, Pocatello, ID 83201-2744 | 2018-05-02 |
1073127791 | Calm Waters Counseling Pllc | Peer Specialist | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2020-09-01 |
1790307890 | Jx2 LLC | Peer Specialist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
1063034437 | Inroads, Inc | Peer Specialist | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2020-05-08 |
1346878691 | Aspen Ministries Syringa Wellness | Peer Specialist | 1609 S Kimball Ave Ste 200, Caldwell, ID 83605-5196 | 2020-03-31 |
1962033399 | Lookout Behavioral Health LLC | Peer Specialist | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2020-02-04 |
1356981419 | Lake City Counseling Center | Peer Specialist | 9705 N Shaw St, Hayden, ID 83835-9716 | 2020-01-07 |
Find all providers with the same taxonomy |
City | IDAHO FALLS |
Zip Code | 83404 |
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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.