MEDICARE: SAINT ALPHONSUS REGIONAL MEDICAL CENTER 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
1	225100000X	Physical Therapist	2	ID
2	1041C0700X	Clinical Social Worker	2	ID
3	235Z00000X	Speech-Language Pathologist	2	ID
4	2278P1005X	Pulmonary Rehabilitation Certified Respiratory Therapist	2	ID
5	225800000X	Recreation Therapist	2	ID
6	111NR0400X	Rehabilitation Chiropractor	2	ID
7	225X00000X	Occupational Therapist	2	ID

General Provider Information

NPI Number	:	1831318021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	901 N CURTIS RD
Second Line	:	#204
City	:	BOISE
State	:	ID
Zip	:	83706-1338
Country	:	US
Telephone Number	:	208-367-8950
Fax Number	:	208-367-6908

Provider Business Practice Location Address
First Line	:	2707 GARRITY BLVD
Second Line	:	#3
City	:	NAMPA
State	:	ID
Zip	:	83687
Country	:	US
Telephone Number	:	208-367-4422
Fax Number	:	208-442-2358

Authorized Official
Title or Position	:	CFO
Name	:	BRIAN LANNIE CHECKETTS
Credential	:
Telephone Number	:	208-367-7347

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	03/16/2026

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