Provider Demographics
NPI:1396069217
Name:AAA MEDICAL SOLUTIONS INC
Entity type:Organization
Organization Name:AAA MEDICAL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-585-2568
Mailing Address - Street 1:412 S KING AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIDDLETON
Mailing Address - State:ID
Mailing Address - Zip Code:83644-5294
Mailing Address - Country:US
Mailing Address - Phone:208-585-2568
Mailing Address - Fax:208-585-6292
Practice Address - Street 1:412 S KING AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MIDDLETON
Practice Address - State:ID
Practice Address - Zip Code:83644-5294
Practice Address - Country:US
Practice Address - Phone:208-585-2568
Practice Address - Fax:208-585-6292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1396069217Medicaid
CO2751531Medicaid
WV3810021964Medicaid
UT1396069217Medicaid
KS200749210AMedicaid
ND55975Medicaid
CA1396069217Medicaid
MD4207211 00Medicaid
NE10026133700Medicaid
IA1396069217Medicaid
WI1396069217Medicaid
OH0052729Medicaid
MN1396069217Medicaid
SD1396069217Medicaid
OK200405430Medicaid
MD4207211 00Medicaid