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General NPI Number Information
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NPI Number | 1649357716
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Entity Type | Organization
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Legal Business Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1055 N CURTIS RD
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City | BOISE
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State | ID
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Zip | 83706
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Country | US
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Telephone | 208-367-4148
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Fax | 208-322-9560
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Provider Business Mailing Address
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Address Line | 1055 N CURTIS RD
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City | BOISE
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State | ID
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Zip | 83706-1309
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Country | US
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Telephone | 208-367-4148
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BRIAN CHECKETTS
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Credential |
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Telephone | 208-367-7347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 2
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 2
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 207LH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Anesthesiology) Physician
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License Number | M2
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License Number State | ID
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Taxonomy #7
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 2
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License Number State | ID
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2
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License Number State | ID
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Taxonomy #9
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2
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License Number State | ID
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Taxonomy #11
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 2
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License Number State | ID
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Taxonomy #12
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2
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License Number State | ID
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Taxonomy #13
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2
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License Number State | ID
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