MEDICARE: AAA AMERICAN HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	NP 1389A	ID
2	208D00000X	General Practice Physician	M4260	ID

General Provider Information

NPI Number	:	1912378787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAA AMERICAN HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1301 E 17TH ST STE 5
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-6273
Country	:	US
Telephone Number	:	208-538-3122
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 E 17TH ST STE 5
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-6273
Country	:	US
Telephone Number	:	208-538-3122
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ALBAN HATCH
Credential	:
Telephone Number	:	208-200-3000

Provider Enumeration Date	:	10/19/2015
Last Update Date	:	10/19/2015

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1669480091 — DR. AARON A HARRIS PHD
Practice Location Address:

1301 E 17TH ST
IDAHO FALLS, ID
83404-6273

Practice Phone: 406-848-4906
Practice Fax:

1285979757 — AAA AMERICAN HEALTHCARE LLC
Practice Location Address:

1301 E 17TH ST
IDAHO FALLS, ID
83404-6273

Practice Phone: 208-538-3122
Practice Fax:

1245670793 — ASHTON MEMORIAL, INC.
Practice Location Address:

1301 E 17TH ST STE 4
IDAHO FALLS, ID
83404-6273

Practice Phone: 208-523-0787
Practice Fax: 208-523-3175

1659797090 — KRISTY ANN PENDLETON LCSW
Practice Location Address:

1301 E 17TH ST
IDAHO FALLS, ID
83404-6273

Practice Phone: 208-538-3122
Practice Fax: 208-881-5295

1942836911 — AMERICA HEALTH INC
Practice Location Address:

1301 E 17TH ST
IDAHO FALLS, ID
83404-6273

Practice Phone: 208-538-3122
Practice Fax:

Directions to “AAA AMERICAN HEALTHCARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.