AMMON MEDICAL AND URGENT CARE PLLC
NPI 1750585907
Clinic/Center - Urgent Care in Ammon, ID
NPI Status: Active since June 12, 2007
Contact Information
3456 E 17TH ST
SUITE 125
AMMON, ID
ZIP 83406
Phone: (208) 529-2828
Fax: (208) 529-3890
- Organization
- Clinic/Center
- Urgent Care
- Accepts Insurance
- CLIA Number: 13D0520880
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-04-2026
About AMMON MEDICAL AND URGENT CARE PLLC
This page provides the complete NPI Profile along with additional information for Ammon Medical And Urgent Care Pllc, a provider established in Ammon, Idaho operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1750585907 assigned on June 2007. The practitioner's primary taxonomy code is 261QU0200X with license number M6533 (ID). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Terry N Amiel M.d. (Owner)
- NPI
- 1750585907
- Provider Name
- AMMON MEDICAL AND URGENT CARE PLLC
- Entity Type
- Organization
- Location Address
- 3456 E 17TH ST SUITE 125 AMMON, ID 83406
- Location Phone
- (208) 529-2828
- Location Fax
- (208) 529-3890
- Mailing Address
- 3456 E 17TH ST SUITE 125 AMMON, ID 83406
- Mailing Phone
- (208) 529-2828
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-12-2007
- Last Update Date
- 12-12-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
- License No.
- M6533
- License State
- ID
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807158800 | MEDICAID (05) | ID |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D0520880
- Facility Type
- Physician Office
- Certificate Effective Date
- March 05, 2024
- Certificate Expiration Date
- March 04, 2026
- Laboratory Director
- J KENDALL CHRISTENSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ammon Medical And Urgent Care Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 5 | 8 | 5 | 9 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 8 | 10 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 0 + 8 + 1 + 0 + 9 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1750585907 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003898974 | PEAK PERFORMANCE THERAPY SERVICES P C Organization | Physical Therapist | 3456 E 17TH ST SUITE 130 AMMON, ID 83406 (208) 523-0030 |
| 1194832832 | TERRY N AMIEL M.D. Individual | Family Medicine | 3456 E 17TH ST SUITE 125 AMMON, ID 83406 (208) 529-2828 |
| 1881789550 | BRAD L OSWALD DDS Individual | Dentist | 3456 E 17TH ST SUITE 115 IDAHO FALLS, ID 83406 (208) 522-1234 |
| 1902917966 | JEFFREY L. THOMPSON PA-C Individual | Physician Assistant | 3456 E 17TH ST SUITE 125 AMMON, ID 83406 (208) 529-2828 |
| 1023223187 | ASPEN RIDGE EYE CARE, PLLC Organization | Optometrist | 3456 E 17TH ST SUITE 150 AMMON, ID 83406 (208) 528-6900 |
| 1467823070 | HEIDI DURAN DPT Individual | Physical Therapist (Orthopedic) | 3456 E 17TH ST #130 AMMON, ID 83406 (208) 523-0030 |
| 1538231634 | MRS. ZABRINA YVETTE THURMAN PA-C Individual | Physician Assistant (Surgical) | 3456 E 17TH ST SUITE 125 AMMON, ID 83406 (208) 529-2828 |
| 1295935963 | MS. JANADELL SKIDMORE LMSW, ICADC Individual | Social Worker | 3456 E 17TH ST SUITE 190 AMMON, ID 83406 (208) 552-9174 |
| 1811632789 | PETE N BLUE Individual | In Home Supportive Care | 3456 E 17TH ST AMMON, ID 83406 (541) 941-1543 |
| 1013087576 | PHARES BRIGGS HORMAN P.T. Individual | Physical Therapist | 3456 E 17TH ST SUITE 130 AMMON, ID 83406 (208) 523-0030 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750585907, enumerated in the NPI registry as an "organization" on June 12, 2007
The provider is located at 3456 E 17th St Suite 125 Ammon, Id 83406 and the phone number is (208) 529-2828
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider might be accepting Accepts: Mountain Health CO-OP, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 13D0520880 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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