SAINT ALPHONSUS SPECIALTY SERVICES INC


Address: 2809 Cleveland Blvd, Caldwell, ID 83605-4443
Phone: 2084551094

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Saint Alphonsus Express Care Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2809 CLEVELAND BLVD
City CALDWELL
State ID
Zip Code 83605-4443

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205489978 Kimereng Kipchumba Kipsuge Nurse Practitioner 1717 Arlington Ave, Caldwell, ID 83605-4802 2019-07-22

Providers in the same taxonomy and state

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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Competitor

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City CALDWELL
Zip Code 83605

Improve Information

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Dataset Information

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.

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