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General NPI Number Information
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NPI Number | 1659371870
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Entity Type | Organization
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Legal Business Name | SAINT ALPHONSUS MEDICAL CENTER NAMPA, INC.
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 4300 E FLAMINGO AVE
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City | NAMPA
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State | ID
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Zip | 83687-3138
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Country | US
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Telephone | 208-205-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 E FLAMINGO AVE
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City | NAMPA
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State | ID
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Zip | 83687-3138
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Country | US
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Telephone | 208-205-1000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TRAVIS LEACH
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Credential |
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Telephone | 208-205-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 10
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License Number State | ID
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