SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC (NPI# 1417289729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417289729 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Other Organization Name | SAINT ALPHONSUS MEDICAL GROUP GARRITY |
| Practice Address |
1200 Garrity Blvd Nampa ID 83687-3402 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2084669092 |
| Practice Fax Number | 2084665322 |
| Mailing Telephone | 2083676275 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2014-12-13 |
| Authorized Official Name | MR. BLAINE Q PETERSEN (TREASURER & CFO) |
| Authorized Official Telephone | 2083677347 |
| 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 Garrity | 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 |
1200 GARRITY BLVD |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366492084 | Saint Alphonsus Physician Services Inc | Nurse Practitioner | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2006-05-11 |
| 1093129751 | Justin Tomal | Internal Medicine | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2014-06-19 |
| 1700010873 | Erin M Mccoy | Internal Medicine | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2009-05-05 |
| 1275737819 | Saint Alphonsus Physician Services Inc | Clinic/Center | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326370636 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 211 W Iowa Ave, Nampa, ID 83686-2834 | 2010-02-11 |
| 1275737819 | Saint Alphonsus Physician Services Inc | Clinic/Center | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2007-06-14 |
| 1487858023 | Saint Alphonsus Physician Services Inc | Clinic/Center | 211 W Iowa Ave, Nampa, ID 83686-2834 | 2007-06-14 |
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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 |
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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.