MEDICARE: AMERICA HEALTH INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	104100000X	Social Worker
3	106H00000X	Marriage & Family Therapist
4	111N00000X	Chiropractor
5	207LP2900X	Pain Medicine (Anesthesiology) Physician
6	207Q00000X	Family Medicine Physician
7	208VP0000X	Pain Medicine Physician
8	225100000X	Physical Therapist
9	225X00000X	Occupational Therapist
10	291U00000X	Clinical Medical Laboratory
11	363L00000X	Nurse Practitioner
12	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942836911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICA HEALTH INC

Provider Business Mailing Address
First Line	:	PO BOX 51163
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83405-1163
Country	:	US
Telephone Number	:
Fax Number	:

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

Authorized Official
Title or Position	:	CEO
Name	:	RYAN HATCH
Credential	:
Telephone Number	:	208-538-3122

Provider Enumeration Date	:	03/20/2020
Last Update Date	:	09/19/2023

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Directions to “AMERICA HEALTH INC ” Practice Location

Language	Start Address	Practice Location

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