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General NPI Number Information
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NPI Number | 1891891792
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Entity Type | Organization
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Legal Business Name | SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 351 SW 9TH ST
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City | ONTARIO
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State | OR
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Zip | 97914-2639
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Country | US
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Telephone | 541-881-7373
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Fax | 541-881-7186
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Provider Business Mailing Address
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Address Line | 351 SW 9TH ST
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City | ONTARIO
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State | OR
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Zip | 97914-2639
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Country | US
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Telephone | 541-881-7373
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Fax | 541-881-7186
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Authorized Official
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Title or Position | CFO
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Name | BRIAN LANNIE 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 | 261QR0400X
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Taxonomy Name | Rehabilitation 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 | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | RP0000802
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 14-1470
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License Number State | OR
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