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ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC NPI 1336166883


NPI Information

NPI: 1336166883
Provider Name: ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC

Doing Business As: ST ALPHONSUS TRAUMA PHYSICIAN SERVICES

Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

Address:
1055 N CURTIS RD
BOISE, ID
ZIP 83706
Phone: (208) 367-7676
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ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC 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. ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC NPI is 1336166883. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Alphonsus Trauma Physician Services.

The provider's business location address is:

1055 N CURTIS RD
BOISE, ID
ZIP 83706-309
Phone: (208) 367-7676

The provider's authorized official is Richard Presnell .
The authorized official title is Chief Financial Officer and has the following contact phone number (208) 367-2881.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/23/2007.


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
12086S0127XSurgeryTrauma SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11374377MEDICARE ID-TYPE UNSPECIFIEDIDAHO

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

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