SAINT ALPHONSUS MEDICAL CENTER-ONTARIO, INC (NPI# 1760823397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760823397 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO, INC |
| Other Organization Name | SAINT ALPHONSUS MEDICAL GROUP FRUITLAND HEALTH PLAZA |
| Practice Address |
910 Nw 16th St Ste 101 Fruitland ID 83619-2265 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2084526851 |
| Mailing Telephone | 2083676275 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | BRIAN LANNIE CHECKETTS (CFO) |
| Authorized Official Telephone | 2083677347 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT ALPHONSUS MEDICAL CENTER ONTARIO 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 Fruitland Health Plaza | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629173588 | Saint Alphonsus Medical Center-ontario, Inc | Home Health | 824 Sw 4th Avenue, Ontario, OR 97914-2639 | 2006-09-14 |
| 1366831885 | Saint Alphonsus Medical Center-ontario, Inc | Registered Nurse | 351 Sw 9th Ave, Ontario, OR 97914-2639 | 2015-01-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO, INC. | 351 Sw 9th St, Ontario, OR 97914 |
| Street Address |
910 NW 16TH ST STE 101 |
| City | FRUITLAND |
| State | ID |
| Zip Code | 83619-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285723460 | Kurt E Kracaw | Family Medicine | 910 Nw 16th St, Ste 101, Fruitland, ID 83619 | 2006-10-12 |
| 1609418722 | Jeanette Hazel Marie Reiners | Nurse Practitioner | 910 Nw 16th St, Fruitland, ID 83619-2265 | 2019-10-09 |
| 1013493576 | Katlin Nicole Burchard | Nurse Practitioner | 910 Nw 16th St, Ste 101, Fruitland, ID 83619 | 2018-07-17 |
| 1447782529 | Kourtney Holder | Nurse Practitioner | 910 Nw 16th St, Ste 101, Fruitland, ID 83619 | 2017-03-29 |
| 1215479019 | Samantha Paterson | Physician Assistant | 910 Nw 16th St, Suite 205, Fruitland, ID 83619-2265 | 2016-11-09 |
| 1720438864 | Ashley Marshall | Physical Therapist | 910 Nw 16th St, Suite 200, Fruitland, ID 83619-2265 | 2016-06-20 |
| 1396106928 | Jordan Elise Finnegan | Physician Assistant | 910 Nw 16th St, Ste 101, Fruitland, ID 83619-2265 | 2016-03-09 |
| 1417326968 | Riverside Orthopedic Clinic | Orthopaedic Surgery | 910 Nw 16th St, #205, Fruitland, ID 83619-2265 | 2015-09-15 |
| 1336535178 | Lisa Marie Tovar | Social Worker | 910 Nw 16th St, Fruitland, ID 83619-2265 | 2015-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322382 | Dallin Scott Wilkes | Physical Therapist | 2175 N Whitley Dr., Fruitland, ID 83619 | 2020-07-01 |
| 1659925113 | Treasure Valley Classical Academy | Local Education Agency (LEA) | 500 Sw 3rd Street, Fruitland, ID 83619 | 2019-08-01 |
| 1083146559 | Total Renal Care, Inc. | Clinic/Center | 815 Nw 13th St, Fruitland, ID 83619 | 2017-04-03 |
| 1154563948 | Becky Jean Wolery | Social Worker | 910 Nw 16th St Ste 101, Fruitland, ID 83619 | 2009-03-25 |
| 1740426196 | John Wesley Linhart | Physical Therapist | 1116 Nw 16th Street, Fruitland, ID 83619 | 2009-01-06 |
| 1528263670 | Snake River Dermatology, Pa | Dermatology | 1611 N Whitley Dr, #7, Fruitland, ID 83619 | 2007-06-19 |
| 1568591204 | John Linton Close | Registered Nurse | 1509 N Whitley Drive, Suite 5, Fruitland, ID 83619 | 2007-03-05 |
| 1629110671 | Payette School Dist #373 | Local Education Agency (LEA) | 303 Sw 3rd Street, Fruitland, ID 83619 | 2007-02-13 |
| 1912075839 | William Frederick Martsch | Dentist | 315 N. Whitley, Fruitland, ID 83619 | 2006-11-30 |
| 1992880132 | Ryan David Hillam | Dentist | 1820 N.whitley Drive, Fruitland, ID 83619 | 2006-10-26 |
| Find all providers in zip 83619 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558674663 | St Alphonsus Regional Medical Center Inc | Clinic/Center | 1118 Nw 16th St, Suite A, Fruitland, ID 83619 | 2010-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160457 | North Canyon Jerome Clinic | Clinic/Center | 491 Heritage Dr, Jerome, ID 83338-6701 | 2020-07-06 |
| 1063970143 | Idaho Street Medical Clinic | Clinic/Center | 126 Idaho Ave., Homedale, ID 83628-8362 | 2019-03-07 |
| 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 | ||||
Please comment or provide details below to improve the information on SAINT ALPHONSUS MEDICAL CENTER-ONTARIO, INC.
| 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.