SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC NPI 1417289729

NPI Information

NPI: 1417289729
Provider Name: SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

Doing Business As: SAINT ALPHONSUS MEDICAL GROUP GARRITY

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1200 GARRITY BLVD
NAMPA, ID
ZIP 83687
Phone: (208) 466-9092
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SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC is a rural health clinic center in Nampa, ID. SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC NPI is 1417289729. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Alphonsus Medical Group Garrity.

The provider's business location address is:

1200 GARRITY BLVD
NAMPA, ID
ZIP 83687-402
Phone: (208) 466-9092
Fax: (208) 466-5322

The provider's authorized official is Blaine Q Petersen .
The authorized official title is Treasurer & Cfo and has the following contact phone number (208) 367-7347.

The enumeration date for this NPI number is 2/11/2010 and was last updated on 12/13/2014.

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	261QR1300X	Clinic/Center	Rural Health			Yes

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
1	133835	MEDICARE OSCAR/CERTIFICATION	IDAHO

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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