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ST. ALPHONSUS PHYSICIAN SERVICES INC NPI 1538197504


NPI Information

NPI: 1538197504
Provider Name: ST. ALPHONSUS PHYSICIAN SERVICES INC

Doing Business As: ST. ALPHONSUS MEDICAL GROUP TEN MILE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3250 W CHERRY LN
MERIDIAN, ID
ZIP 83642
Phone: (208) 895-8969
Get Directions

ST. ALPHONSUS PHYSICIAN SERVICES INC is a family medicine in Meridian, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. ALPHONSUS PHYSICIAN SERVICES INC NPI is 1538197504. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Alphonsus Medical Group Ten Mile.

The provider's business location address is:

3250 W CHERRY LN
MERIDIAN, ID
ZIP 83642-120
Phone: (208) 895-8969
Fax: (208) 895-8973

The provider's authorized official is Tami Jean Moscrip .
The authorized official title is Area Manager and has the following contact phone number (208) 367-4593.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineYes

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

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