SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC (NPI# 1437378627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437378627 |
Entity Type | Organization |
Organization Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
Other Organization Name | SAINT ALPHONSUS REHABILITATION SERVICES |
Practice Address |
5959 N Discovery Way Boise ID 83713 |
Mailing Address |
901 N Curtis Rd #204 Boise ID 83706-1338 |
Practice Telephone | 2083780256 |
Practice Fax Number | 2083780269 |
Mailing Telephone | 2083678950 |
Mailing Fax Number | 2083676908 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2018-05-25 |
Authorized Official Name | ODETTE BOLANO (PRESIDENT) |
Authorized Official Telephone | 2083672118 |
Is Organization Subpart | Y |
Parent Organization Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
2 | ID | Behavioral Health & Social Service Providers |
N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
2 | ID | Chiropractic Providers |
N | 225100000X | Physical Therapist | 2 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225X00000X | Occupational Therapist | 2 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2278P1005X |
Respiratory Therapist, Certified Specialization: Pulmonary Rehabilitation |
2 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 235Z00000X | Speech-Language Pathologist | 2 | ID | Speech, Language and Hearing Service Providers |
Y | 225800000X | Recreation Therapist | 2 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 002265701 | 05 |
Other Name | Type Code |
---|---|
SAINT ALPHONSUS REHABILITATION SERVICES | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760741334 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 131 Constitution Way, Nampa, ID 83686 | 2012-05-16 |
1528287711 | Saint Alphonsus Regional Medical Center Inc | Social Worker | 1050 W State St, Boise, ID 83702 | 2007-04-25 |
1295954485 | Saint Alphonsus Regional Medical Center Inc | Clinical Neuropsychologist | 717 N Liberty St, Boise, ID 83704-9342 | 2007-04-25 |
1831318021 | Saint Alphonsus Regional Medical Center Inc | Respiratory Therapist, Certified | 2707 Garrity Blvd, #3, Nampa, ID 83687 | 2007-04-25 |
1013056316 | Saint Alphonsus Regional Medical Center Inc | Social Worker | 131 Allumbaugh St, Boise, ID 83704-9204 | 2007-02-05 |
1487111472 | Saint Alphonsus Regional Medical Center Inc | Durable Medical Equipment & Medical Supplies | 6165 W Emerald St, Boise, ID 83704-8613 | 2019-02-26 |
1235696212 | Saint Alphonsus Regional Medical Center Inc | Durable Medical Equipment & Medical Supplies | 1075 N Curtis Rd Ste 300, Boise, ID 83706-1348 | 2019-02-26 |
1184155426 | Saint Alphonsus Regional Medical Center Inc | Clinical Medical Laboratory | 1055 N Curtis Rd, Boise, ID 83706 | 2017-03-27 |
1750620159 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 4400 E Flamingo Ave, Nampa, ID 83687 | 2013-02-05 |
1508198813 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 315 E Elm St Ste 100, Caldwell, ID 83605-4858 | 2010-02-11 |
Street Address |
5959 N DISCOVERY WAY |
City | BOISE |
State | ID |
Zip Code | 83713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154665719 | Jeremy Hansen | Physical Therapy Assistant | 5959 N Discovery Way, Boise, ID 83713-1556 | 2012-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
Find all providers in zip 83713 |
Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902389 | Christine Alice Walsh | Recreation Therapist | 500 W Fort St, Boise, ID 83702-4501 | 2020-11-03 |
1568082097 | Angela Colson | Recreation Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2020-04-24 |
1699844993 | Ann Marie Wildman | Recreation Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952535759 | Jodi Nelson Deerfield | Recreation Therapist | 2305 N Marburg Pl, Meridian, ID 83646-3818 | 2009-05-07 |
1629036918 | Brionn M Tripp | Recreation Therapist | 815 N Frederick St, Post Falls, ID 83854-8667 | 2006-05-03 |
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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.