SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC NPI 1013056316

NPI Information

NPI: 1013056316
Provider Name: SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

Doing Business As: ST. ALPHONSUS BEHAVIORAL HEALTH

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
131 ALLUMBAUGH ST
BOISE, ID
ZIP 83704
Phone: (208) 367-3069
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SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC is a professional counselor in Boise, ID. SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC NPI is 1013056316. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Alphonsus Behavioral Health.

The provider's business location address is:

131 ALLUMBAUGH ST
BOISE, ID
ZIP 83704-204
Phone: (208) 367-3069
Fax: (208) 367-3002

The provider's authorized official is Brian Lannie Checketts .
The authorized official title is Cfo & Board Member and has the following contact phone number (208) 367-7347.

The CLIA number assigned to this NPI record is 13D1046355 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 1/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	104100000X	Social Worker		No
2	1041C0700X	Social Worker	Clinical	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	No
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
5	101YP2500X	Counselor	Professional	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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