MEDICARE: ANN CHAMBERS

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	251E00000X	Home Health Agency		ID

General Provider Information

NPI Number	:	1881202414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN CHAMBERS

Provider Business Mailing Address
First Line	:	1320 DRY CREEK RD
Second Line	:
City	:	TROY
State	:	ID
Zip	:	83871-9664
Country	:	US
Telephone Number	:	208-301-8787
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 DRY CREEK RD
Second Line	:
City	:	TROY
State	:	ID
Zip	:	83871-9664
Country	:	US
Telephone Number	:	208-301-8787
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2020
Last Update Date	:	07/20/2020

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Directions to “ ANN CHAMBERS ” Practice Location

Language	Start Address	Practice Location

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