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NPI Code Detail

MEDICARE: SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC

MEDICARE: SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, 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
1207R00000XInternal Medicine Physician
2208600000XSurgery Physician
3207X00000XOrthopaedic Surgery Physician
4367500000XCertified Registered Nurse Anesthetist
5207PE0004XEmergency Medical Services (Emergency Medicine) Physician
6207Q00000XFamily 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
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881726206
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC
Provider Business Mailing Address
First Line : PO BOX 190930
Second Line :
City : BOISE
State : ID
Zip : 83719-0930
Country : US
Telephone Number : 208-367-5170
Fax Number : 208-367-5180
Provider Business Practice Location Address
First Line : 3325 POCAHONTAS RD
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-1464
Country : US
Telephone Number : 541-524-2965
Fax Number : 541-524-8151
Authorized Official
Title or Position : CFO
Name : BRIAN LANNIE CHECKETTS
Credential :
Telephone Number : 208-367-7347
Provider Enumeration Date : 03/12/2007
Last Update Date : 03/02/2026

Similar Medicare Providers

1386636355 — SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC
Practice Location Address:
3325 POCAHONTAS RD
BAKER CITY, OR
97814-1464
Practice Phone: 541-523-6461
Practice Fax: 541-523-8151
1497720460 — MICHAEL HUGH MCQUEEN MD
Practice Location Address:
3325 POCAHONTAS RD
BAKER CITY, OR
97814-1464
Practice Phone: 541-523-8111
Practice Fax:
1477508604 — DR. SAMUEL WILLIAM CAPRA JR. MD
Practice Location Address:
3325 POCAHONTAS RD
BAKER CITY, OR
97814-1464
Practice Phone: 541-524-8000
Practice Fax: 541-524-7965
1841230752 — MS. JENNIFER S. HOFFMAN CNP
Practice Location Address:
3325 POCAHONTAS RD
BAKER CITY, OR
97814-1464
Practice Phone: 541-524-8000
Practice Fax: 541-524-7955
1336211226 — HOWARD MICHAEL RUSSELL LPT
Practice Location Address:
3325 POCAHONTAS ROAD , ST ELIZABETH HEALTH SERVICES
BAKER CITY, ID
97814-1464
Practice Phone: 541-523-8130
Practice Fax: 541-523-1793
1457405359 — NANCY HUTNAK D.O.
Practice Location Address:
3325 POCAHONTAS RD
BAKER CITY, OR
97814-1464
Practice Phone: 541-523-8105
Practice Fax: 541-523-1738

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