Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carriage House Obstetrics and Gyncecology, LLC

Organization Obstetrics & Gynecology Physician · NPI 1619270139

Carriage House Obstetrics and Gyncecology, LLC is an Obstetrics & Gynecology Physician in Ammon, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1570 Midway Dr Ste 1
Ammon, ID 83406-6912
Phone: (208) 522-2557
Fax: (208) 552-2575
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence O0578 (ID)

Record details

NPI number1619270139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katie Davenport — Billing · (208) 520-2636
NPI enumeratedDecember 7, 2010
Last updated in NPPESDecember 7, 2010
Mailing address1570 Midway Dr, Suite 1, Ammon, ID 83406-6912

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