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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
1208000000XPediatrics Physician
2208VP0000XPain Medicine Physician
3208M00000XHospitalist Physician
4363L00000XNurse Practitioner
5207V00000XObstetrics & Gynecology Physician
6207R00000XInternal Medicine Physician
7363AS0400XSurgical Physician Assistant
8207RC0000XCardiovascular Disease Physician
9207X00000XOrthopaedic Surgery Physician
102084N0400XNeurology Physician
11207RP1001XPulmonary Disease Physician
12208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
13363A00000XPhysician Assistant
14367A00000XAdvanced Practice Midwife
15207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861676298
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Provider Business Mailing Address
First Line : 1055 N CURTIS RD
Second Line :
City : BOISE
State : ID
Zip : 83706-1309
Country : US
Telephone Number : 208-367-5170
Fax Number : 208-367-5180
Provider Business Practice Location Address
First Line : 712 AVIATION WAY
Second Line :
City : CALDWELL
State : ID
Zip : 83605-1154
Country : US
Telephone Number : 208-302-1000
Fax Number : 208-302-1035
Authorized Official
Title or Position : CFO
Name : BRIAN LANNIE CHECKETTS
Credential :
Telephone Number : 208-367-7347
Provider Enumeration Date : 12/20/2007
Last Update Date : 12/30/2025

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Directions to “SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC ” Practice Location

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