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SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC NPI 1629173588


NPI Information

NPI: 1629173588
Provider Name: SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC

Doing Business As: SAINT ALPHONSUS HOME CARE, ONTARIO

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
824 SW 4TH AVENUE
ONTARIO, OR
ZIP 97914
Phone: (541) 881-7430
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SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC is a home health in Ontario, OR. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC NPI is 1629173588. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Alphonsus Home Care, Ontario.

The provider's business location address is:

824 SW 4TH AVENUE
ONTARIO, OR
ZIP 97914-639
Phone: (541) 881-7430
Fax: (541) 881-7181

The provider's authorized official is Brian Lannie Checketts .
The authorized official title is Cfo and has the following contact phone number (208) 367-7347.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 1/24/2023.


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
1251E00000XHome Health13140026OREGONNo
2251E00000XHome HealthNo
3251E00000XHome HealthHH-136IDAHONo
4251E00000XHome Health13-1398OREGONYes

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
1500619294MEDICAIDOREGON
2808630400MEDICAIDIDAHO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.