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SAINT ALPHONSUS SPECIALTY SERVICES INC NPI 1093040479


NPI Information

NPI: 1093040479
Provider Name: SAINT ALPHONSUS SPECIALTY SERVICES INC
Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

CLIA Number: 13D0521737

Address:
6140 W CURTISIAN AVE
STE 200
BOISE, ID
ZIP 83704
Phone: (208) 367-4278
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SAINT ALPHONSUS SPECIALTY SERVICES INC is a trauma surgery surgery in Boise, ID. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. SAINT ALPHONSUS SPECIALTY SERVICES INC NPI is 1093040479. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6140 W CURTISIAN AVE
STE 200
BOISE, ID
ZIP 83704-107
Phone: (208) 367-4278

The provider's authorized official is Odette Bolano .
The authorized official title is President and has the following contact phone number (208) 367-2118.

The CLIA number assigned to this NPI record is 13D0521737 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/2/2009 and was last updated on 4/27/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207T00000XNeurological SurgeryNo
3207V00000XObstetrics & GynecologyNo
4207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
5207VX0201XObstetrics & GynecologyGynecologic OncologyNo
6207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryNo
72084N0400XPsychiatry & NeurologyNeurologyNo
8208600000XSurgeryNo
92086S0127XSurgeryTrauma SurgeryYes
102086S0129XSurgeryVascular SurgeryNo
11208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
12208M00000XHospitalistNo
13208VP0000XPain MedicinePain MedicineNo
14363LF0000XNurse PractitionerFamilyNo
15364S00000XClinical Nurse SpecialistNo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.