SAINT ALPHONSUS SPECIALTY SERVICES INC (NPI# 1780879536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780879536 |
Entity Type | Organization |
Organization Name | SAINT ALPHONSUS SPECIALTY SERVICES INC |
Other Organization Name | SAINT ALPHONSUS EXPRESS CARE |
Practice Address |
2809 Cleveland Blvd Caldwell ID 83605-4443 |
Mailing Address |
1070 N Curtis Rd Suite 250 Boise ID 83706-1238 |
Practice Telephone | 2084551094 |
Mailing Telephone | 2083677264 |
Enumeration Date | 2007-09-13 |
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 |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Saint Alphonsus Express Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639364482 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 660 E Boise Ave, Boise, ID 83706-5118 | 2007-09-13 |
1093040479 | Saint Alphonsus Specialty Services Inc | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704-0107 | 2009-10-02 |
1386839132 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 6560 S Federal Way, Boise, ID 83716-9277 | 2007-09-13 |
1033304886 | Saint Alphonsus Specialty Services Inc | Physician Assistant | 4700 N Eagle Rd, Boise, ID 83713-0744 | 2007-09-13 |
1255526000 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 1515 W State St, Boise, ID 83702-4039 | 2007-09-13 |
Street Address |
2809 CLEVELAND BLVD |
City | CALDWELL |
State | ID |
Zip Code | 83605-4443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194219634 | Jeramy Randall Neibaur | Pharmacist | 2809 Cleveland Blvd, Caldwell, ID 83605-4443 | 2018-06-19 |
1720536758 | Matthew Lorcher | Pharmacist | 2809 Cleveland Blvd, Caldwell, ID 83605-4443 | 2016-09-19 |
1205135498 | Robert W Mickelson | Pharmacist | 2809 Cleveland Blvd, Caldwell, ID 83605-4443 | 2011-03-28 |
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 | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205489978 | Kimereng Kipchumba Kipsuge | Nurse Practitioner | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629685235 | Mark Mitchell Roubidoux II | Nurse Practitioner | 201 18th Ave, Lewiston, ID 83501-2768 | 2020-09-28 |
1275199663 | Jason T Elliott | Nurse Practitioner | 12094 N Barn Owl Way, Boise, ID 83714-1363 | 2019-05-12 |
1699055491 | Nicole Dawn Bartlett | Nurse Practitioner | 243 Cheney Dr W Ste 200, Twin Falls, ID 83301-4278 | 2011-08-24 |
1174707442 | Tracy K Matalon | Nurse Practitioner | 3340 E Goldstone Way, Meridian, ID 83642-1026 | 2007-12-21 |
1639364482 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 660 E Boise Ave, Boise, ID 83706-5118 | 2007-09-13 |
1962522409 | Wendy Swope | Nurse Practitioner | 3388 Highway 26, Irwin, ID 83428 | 2007-03-29 |
1609808328 | Nancy Nuce Taylor | Nurse Practitioner | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2006-07-06 |
1336193598 | Angela K. Hughes | Nurse Practitioner | 6933 W Emerald St, Boise, ID 83704-8616 | 2006-05-20 |
1174156962 | Rachel Lynne Davis | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2020-02-20 |
1154823433 | Christopher R Counsil | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2018-03-02 |
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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.