SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC (NPI# 1508198813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508198813 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Other Organization Name | SAINT ALPHONSUS MEDICAL GROUP ELM |
| Practice Address |
315 E Elm St Ste 100 Caldwell ID 83605-4858 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2084597415 |
| Practice Fax Number | 2084533307 |
| Mailing Telephone | 2083676275 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2018-04-26 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Saint Alphonsus Medical Group Elm | 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 |
| 1437378627 | Saint Alphonsus Regional Medical Center Inc | Social Worker | 5959 N Discovery Way, Boise, ID 83713 | 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 |
| Street Address |
315 E ELM ST STE 100 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508809914 | Matthew S Brown | Pediatrics | 315 E Elm St Ste 100, Caldwell, ID 83605-4858 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578767117 | Saint Alphonsus Physician Services Inc | Clinic/Center | 315 E Elm St, Suite 100, Caldwell, ID 83605-4858 | 2007-06-14 |
| 1932276235 | St. Joseph Regional Health Center | Clinic/Center | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2006-11-29 |
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| 1376160457 | North Canyon Jerome Clinic | Clinic/Center | 491 Heritage Dr, Jerome, ID 83338-6701 | 2020-07-06 |
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| 1568950566 | North Canyon Medical Center, Inc. | Clinic/Center | 718 Hwy 30, Buhl, ID 83316 | 2018-04-25 |
| 1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
| 1700206588 | Mvh Bmc LLC | Clinic/Center | 210 S Emerson Ave, Shelley, ID 83274-1229 | 2014-04-21 |
| 1922243088 | Bmh Inc | Clinic/Center | 1355 Parkway Dr, Blackfoot, ID 83221-1656 | 2008-12-03 |
| 1023271731 | Upper Valley Family Medicine Rhc | Clinic/Center | 530 Rigby Lake Dr, Rigby, ID 83442-1271 | 2008-07-03 |
| 1891984167 | Bmh Inc | Clinic/Center | 1425 Parkway Drive, Blackfoot, ID 83221-1758 | 2007-10-23 |
| 1043387426 | Minidoka Memorial Hospital | Clinic/Center | 1308 8th St, Suite 1, Rupert, ID 83350-1530 | 2006-11-29 |
| 1356438816 | Gritman Medical Center Inc | Clinic/Center | 156 6th St, Potlatch, ID 83855 | 2006-10-06 |
| Find all providers with the same taxonomy | ||||
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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.