SAINT ALPHONSUS PHYSICIAN SERVICES INC (NPI# 1821032376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821032376 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS PHYSICIAN SERVICES INC |
| Other Organization Name | SAINT ALPHONSUS MEDICAL GROUP TEN MILE |
| Practice Address |
3250 W Cherry Ln Meridian ID 83642-1120 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2088958969 |
| Mailing Telephone | 2083675170 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-12-27 |
| Authorized Official Name | MS. JANELLE G. REILLY (PRESIDENT) |
| Authorized Official Telephone | 2083676490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Saint Alphonsus Medical Group Ten Mile | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033123468 | Saint Alphonsus Physician Services Inc | Clinic/Center | 315 Elm, Suite 100, Caldwell, ID 83605 | 2006-07-29 |
| 1801820501 | Saint Alphonsus Physician Services Inc | Family Medicine | 1001 N Meridian Rd, Meridian, ID 83642-2243 | 2006-07-10 |
| 1386680890 | Saint Alphonsus Physician Services Inc | Family Medicine | 1625 W State St, Boise, ID 83702-4041 | 2006-06-22 |
| 1073559449 | Saint Alphonsus Physician Services Inc | Physician Assistant | 1673 Shoreline Drive, Suite 120, Boise, ID 83702-6749 | 2006-06-22 |
| 1871549394 | Saint Alphonsus Physician Services Inc | Family Medicine | 471 Baybrook Ct, Boise, ID 83706-3900 | 2006-05-26 |
| 1184677692 | Saint Alphonsus Physician Services Inc | Internal Medicine | 323 East Riverside Drive, Suite 224, Eagle, ID 83616-6865 | 2006-05-18 |
| 1477504090 | Saint Alphonsus Physician Services Inc | Nurse Practitioner | 211 W Iowa Ave, Nampa, ID 83686-2834 | 2006-05-16 |
| 1184674764 | Saint Alphonsus Physician Services Inc | Internal Medicine | 6094 W Emerald St, Boise, ID 83704-8855 | 2006-05-12 |
| 1366492084 | Saint Alphonsus Physician Services Inc | Nurse Practitioner | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2006-05-11 |
| 1487849147 | Saint Alphonsus Physician Services Inc | Advanced Practice Midwife | 900 N Liberty St, Suite 204, Boise, ID 83704-8707 | 2007-09-06 |
| Street Address |
3250 W CHERRY LN |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268332 | Amy Blackledge | Registered Nurse | 3250 W Cherry Ln, Meridian, ID 83642-1120 | 2020-06-05 |
| 1538197504 | St. Alphonsus Physician Services Inc | Family Medicine | 3250 W Cherry Ln, Meridian, ID 83642-1120 | 2006-06-29 |
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|---|---|---|---|---|
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| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
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| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1033424429 | Borron Family Medicine Pllc | Clinic/Center | 790 W Ustick Rd, Ste 110, Meridian, ID 83646-5558 | 2010-08-10 |
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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.