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SAINT ALPHONSUS PHYSICIAN SERVICES INC NPI 1669422242


NPI Information

NPI: 1669422242
Provider Name: SAINT ALPHONSUS PHYSICIAN SERVICES INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
315 E ELM ST
SUITE 100
CALDWELL, ID
ZIP 83605
Phone: (208) 459-7415
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SAINT ALPHONSUS PHYSICIAN SERVICES INC is a family medicine in Caldwell, 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 1669422242. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

315 E ELM ST
SUITE 100
CALDWELL, ID
ZIP 83605-858
Phone: (208) 459-7415
Fax: (208) 453-3232

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 5/12/2006 and was last updated on 10/9/2008.


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
1208000000XPediatricsNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4207R00000XInternal MedicineNo
5207V00000XObstetrics & GynecologyNo
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1805403600MEDICAIDIDAHO
2805418900MEDICAIDIDAHO
31373228MEDICARE 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: 11/14/2023

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.