Ammon Medical And Urgent Care Pllc

LBN: Ammon Medical And Urgent Care Pllc
Ammon Medical And Urgent Care Pllc is an health care organization with primary practice located at 3456 E 17Th St Suite 125, Ammon ID 83406-6757. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Ammon Medical And Urgent Care Pllc can be contacted via phone (208) 529-2828, or through Amiel, Terry N via phone (208) 529-2828.

Contact Information

Primary practice address
3456 E 17Th St Suite 125 Ammon ID 83406-6757
Phone: (208) 529-2828
Fax: (208) 529-3890
Website:
Map and Directions
Authorized official contact:
Name: Amiel, Terry N Doctor of Medicine (MD)
Phone: (208) 529-2828

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X M6533 Idaho

Profile Details

NPI number 1750585907
LBN Legal business name Ammon Medical And Urgent Care Pllc
DBA Doing business as
Authorized official Amiel, Terry N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2007
Last updated Dec 12th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750585907 NPPES
Idaho MEDICAID 807158800

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