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SAINT ALPHONSUS PHYSICIAN SERVICES INC NPI 1760418065


NPI Information

NPI: 1760418065
Provider Name: SAINT ALPHONSUS PHYSICIAN SERVICES INC

Doing Business As: SAINT ALPHONSUS MEDICAL GROUP FEDERAL WAY

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1880 JUDITH LANE
BOISE, ID
ZIP 83705
Phone: (208) 367-6910
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SAINT ALPHONSUS PHYSICIAN SERVICES INC is a family medicine in Boise, 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. SAINT ALPHONSUS PHYSICIAN SERVICES INC NPI is 1760418065. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Saint Alphonsus Medical Group Federal Way.

The provider's business location address is:

1880 JUDITH LANE
BOISE, ID
ZIP 83705-185
Phone: (208) 367-6910
Fax: (208) 367-6170

The provider's authorized official is Janelle G. Reilly .
The authorized official title is President and has the following contact phone number (208) 367-6490.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 8/25/2008.


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
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207Q00000XFamily MedicineYes

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
11373224MEDICARE PINIDAHO
2805276500MEDICAIDIDAHO

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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