SAINT ALPHONSUS REGIONAL MEDICAL CENTER (NPI# 1144673021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144673021 |
Entity Type | Organization |
Organization Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
Other Organization Name | SAMG OCC MED ROSTER BILLING |
Practice Address |
6533 W Emerald St Boise ID 83704-8737 |
Practice Telephone | 2083027600 |
Practice Fax Number | 2083027605 |
Mailing Telephone | 2083027600 |
Mailing Fax Number | 2083027605 |
Enumeration Date | 2016-07-15 |
Last Update Date | 2018-04-27 |
Authorized Official Name | ODETTE BOLANO (PRESIDENT) |
Authorized Official Telephone | 2083672118 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
M-5535 | ID | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SAMG Occ Med Roster Billing | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952739765 | Saint Alphonsus Regional Medical Center | General Acute Care Hospital | 1055 N Curtis Rd, Attention Pharmacy, Boise, ID 83706-1309 | 2013-10-15 |
1124354519 | Saint Alphonsus Regional Medical Center | Internal Medicine | 315 E Elm St, Suite 100, Caldwell, ID 83605-4857 | 2009-10-20 |
1699890574 | Saint Alphonsus Regional Medical Center | Counselor | 6140 W Emerald St, Boise, ID 83704 | 2007-03-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. | 1055 N Curtis Rd, Boise, ID 83706 |
Street Address |
6533 W EMERALD ST |
City | BOISE |
State | ID |
Zip Code | 83704-8737 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538110234 | Scott Noble Schwendiman | Family Medicine | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-05-15 |
1992343396 | Tessa Nicole Murdock-bell | Social Worker | 6533 W Emerald St, Boise, ID 83704-8737 | 2019-12-16 |
1568852119 | Saint Alphonsus Regional Medical Center, Inc | Family Medicine | 6533 W Emerald St, Boise, ID 83704 | 2015-02-03 |
1427109321 | David Agler | Family Medicine | 6533 W Emerald St, Boise, ID 83704-8737 | 2007-01-16 |
1740395094 | Stephen W Williamson | Physician Assistant | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-08-20 |
1497773196 | Adam C Husney | Family Medicine | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-07-18 |
1992738736 | Saint Alphonsus Physician Services Inc | Physician Assistant | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-07-07 |
1699703371 | Saint Alphonsus Physician Services Inc | Clinic/Center | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-06-29 |
1194761460 | Jacob Kammer | Preventive Medicine | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-06-22 |
1396789780 | Michael P Gibson | Family Medicine | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-06-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
Find all providers in zip 83704 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043393754 | Thomas Barrett Eschen | Preventive Medicine | 115 Provident, Boise, ID 83706-4017 | 2006-10-24 |
1184865883 | Optimal Heatlh Medical Institure | Preventive Medicine | 3224 N Maple Grove Rd, Boise, ID 83704-4214 | 2009-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174609648 | Cay E Berg | Preventive Medicine | 4701 S Wackerli Ave, Ammon, ID 83406-8154 | 2006-10-27 |
1245291772 | Ralph Marc Sutherlin | Preventive Medicine | 3025 W. Cherry Lane, Ste B, Meridian, ID 83642-8531 | 2006-04-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.