SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC NPI 1053522961

NPI Information

NPI: 1053522961
Provider Name: SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC
Classification: Radiologic Technologist - 2471R0002X
Entity Type: Organization

Specialization: Radiation Therapy

Address:
3123 MEDICAL DR
CALDWELL, ID
ZIP 83605
Phone: (208) 455-2033
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SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC is a radiation therapy radiologic technologist in Caldwell, ID. SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC NPI is 1053522961. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3123 MEDICAL DR
CALDWELL, ID
ZIP 83605-911
Phone: (208) 455-2033
Fax: (208) 367-4817

The provider's authorized official is Shelly Ann Gorman .
The authorized official title is Manager and has the following contact phone number (208) 205-0066.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 4/25/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2471R0002X	Radiologic Technologist	Radiation Therapy			Yes

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

NPI Synchronization or Removal

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