SAINT ALPHONSUS PHYSICIAN SERVICES INC NPI 1184677692

NPI Information

  • NPI: 1184677692
  • Provider Name: SAINT ALPHONSUS PHYSICIAN SERVICES INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SAINT ALPHONSUS MEDICAL GROUP EAGLE HEALTH PLAZA
  • Address: 323 EAST RIVERSIDE DRIVE
    SUITE 224
    EAGLE, ID
    ZIP 83616
  • Phone: (208) 367-5750

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NPI Details

SAINT ALPHONSUS PHYSICIAN SERVICES INC is a family medicine in Eagle, 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 1184677692. 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 Eagle Health Plaza.

The provider's business location address is:

323 EAST RIVERSIDE DRIVE
SUITE 224
EAGLE, ID
ZIP 83616-865
Phone: (208) 367-5750
Fax: (208) 367-5765

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 5/18/2006 and was last updated on 12/21/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207V00000XObstetrics & GynecologyNo
3208000000XPediatricsNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo
6367A00000XAdvanced Practice MidwifeNo
7207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11376537MEDICARE PINIDAHO

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: 3/30/2025

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