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NPI Code Detail

MEDICARE: SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC

MEDICARE: SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1275N00000XMedicare Defined Swing Bed Hospital Unit
23336C0003XCommunity/Retail Pharmacy
3282NC0060XCritical Access Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386636355
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC
Provider Business Mailing Address
First Line : 3325 POCAHONTAS RD
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-1464
Country : US
Telephone Number : 541-523-6461
Fax Number : 541-523-8151
Provider Business Practice Location Address
First Line : 3325 POCAHONTAS RD
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-1464
Country : US
Telephone Number : 541-523-6461
Fax Number : 541-523-8151
Authorized Official
Title or Position : CFO
Name : BRIAN LANNIE CHECKETTS
Credential :
Telephone Number : 208-367-7347
Provider Enumeration Date : 08/16/2005
Last Update Date : 06/16/2025

Similar Medicare Providers

1881726206 — SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC
Practice Location Address:
3325 POCAHONTAS RD
BAKER CITY, OR
97814-1464
Practice Phone: 541-524-2965
Practice Fax: 541-524-8151
1497720460 — MICHAEL HUGH MCQUEEN MD
Practice Location Address:
3325 POCAHONTAS RD
BAKER CITY, OR
97814-1464
Practice Phone: 541-523-8111
Practice Fax:
1477508604 — DR. SAMUEL WILLIAM CAPRA JR. MD
Practice Location Address:
3325 POCAHONTAS RD
BAKER CITY, OR
97814-1464
Practice Phone: 541-524-8000
Practice Fax: 541-524-7965
1841230752 — MS. JENNIFER S. HOFFMAN CNP
Practice Location Address:
3325 POCAHONTAS RD
BAKER CITY, OR
97814-1464
Practice Phone: 541-524-8000
Practice Fax: 541-524-7955
1336211226 — HOWARD MICHAEL RUSSELL LPT
Practice Location Address:
3325 POCAHONTAS ROAD , ST ELIZABETH HEALTH SERVICES
BAKER CITY, ID
97814-1464
Practice Phone: 541-523-8130
Practice Fax: 541-523-1793
1457405359 — NANCY HUTNAK D.O.
Practice Location Address:
3325 POCAHONTAS RD
BAKER CITY, OR
97814-1464
Practice Phone: 541-523-8105
Practice Fax: 541-523-1738

Directions to “SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC ” Practice Location

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