SAINT ALPHONSUS REGIONAL MEDICAL CENTER NPI 1144673021

NPI Information

SAINT ALPHONSUS REGIONAL MEDICAL CENTER is a preventive medicine/occupational environmental medicine preventive medicine in Boise, ID. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. SAINT ALPHONSUS REGIONAL MEDICAL CENTER NPI is 1144673021. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Samg Occ Med Roster Billing.

The provider's business location address is:

6533 W EMERALD ST
BOISE, ID
ZIP 83704-737
Phone: (208) 302-7600
Fax: (208) 302-7605

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 enumeration date for this NPI number is 7/15/2016 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:

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