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Contact Information

AMMARA, INC.
30410 HIGHWAY 200
PONDERAY, ID83852-9601
 Phone: 208-263-1345
 Fax: 208-255-5531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMMARA, INC.

NPI Number 1821003708
LBN Legal business name AMMARA, INC.
Authorized official KATHY GAVIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
ID License # NP-257A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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