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SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC NPI 1861676298


NPI Information

NPI: 1861676298
Provider Name: SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
315 E ELM ST
STE 100
CALDWELL, ID
ZIP 83605
Phone: (208) 459-7415
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SAINT ALPHONSUS REGIONAL MEDICAL CENTER 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 REGIONAL MEDICAL CENTER INC NPI is 1861676298. 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
STE 100
CALDWELL, ID
ZIP 83605
Phone: (208) 459-7415

The provider's authorized official is Odette Bolano .
The authorized official title is President and has the following contact phone number (208) 367-2118.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 5/24/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RP1001XInternal MedicinePulmonary DiseaseNo
5207V00000XObstetrics & GynecologyNo
6207X00000XOrthopaedic SurgeryNo
7208000000XPediatricsNo
82084N0400XPsychiatry & NeurologyNeurologyNo
9208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
10208M00000XHospitalistNo
11208VP0000XPain MedicinePain MedicineNo
12363A00000XPhysician AssistantNo
13363AS0400XPhysician AssistantSurgicalNo
14363L00000XNurse PractitionerNo
15367A00000XAdvanced Practice MidwifeNo

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
1806290700MEDICAIDIDAHO

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

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