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NPI Code Detail

MEDICARE: SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

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
1261QM1300XMulti-Specialty Clinic/CenterID
2261QR0400XRehabilitation Clinic/CenterID
3261QP2000XPhysical Therapy Clinic/CenterID

General Provider Information

NPI Number : 1104045392
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 : 3025 W CHERRY LN
Second Line : SUITE D
City : MERIDIAN
State : ID
Zip : 83642
Country : US
Telephone Number : 208-367-8593
Fax Number : 208-367-8595
Authorized Official
Title or Position : CFO & BOARD MEMBER
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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Directions to “SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC ” Practice Location

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