SAINT ALPHONSUS SPECIALTY SERVICES INC (NPI# 1639364482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639364482 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| Other Organization Name | SAINT ALPHONSUS EXPRESS CARE |
| Practice Address |
660 E Boise Ave Boise ID 83706-5118 |
| Mailing Address |
1070 N Curtis Rd Suite 250 Boise ID 83706-1238 |
| Practice Telephone | 2083451162 |
| 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 |
|---|---|---|---|---|
| 1780879536 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 2809 Cleveland Blvd, Caldwell, ID 83605-4443 | 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 |
660 E BOISE AVE |
| City | BOISE |
| State | ID |
| Zip Code | 83706-5118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285289686 | Drew William Spanner | Pharmacist | 660 E Boise Ave, Boise, ID 83706-5118 | 2019-08-03 |
| 1508375924 | Lacey Vale | Pharmacist | 660 E Boise Ave, Boise, ID 83706-5118 | 2017-09-28 |
| 1609289933 | Philip Bright | Pharmacist | 660 E Boise Ave, Boise, ID 83706-5118 | 2014-06-04 |
| 1912253378 | Tia Bloom | Pharmacist | 660 E Boise Ave, Boise, ID 83706-5118 | 2012-08-02 |
| 1700176724 | James E Brown | Pharmacist | 660 E Boise Ave, Boise, ID 83706-5118 | 2011-04-11 |
| 1467773762 | Shannon Mars | Pharmacist | 660 E Boise Ave, Boise, ID 83706-5118 | 2010-06-21 |
| 1518119932 | Sarah C Blain | Pharmacist | 660 E Boise Ave, Boise, ID 83706-5118 | 2008-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199663 | Jason T Elliott | Nurse Practitioner | 12094 N Barn Owl Way, Boise, ID 83714-1363 | 2019-05-12 |
| 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 |
| 1992206742 | Kellie Watson | Nurse Practitioner | 6140 W Curtisian Ave, Boise, ID 83704-8880 | 2018-02-27 |
| 1124562491 | Kimberly Telfer | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2016-12-06 |
| 1881140283 | Ashley Ann Rood | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2016-08-26 |
| 1255706461 | Jennifer Kienlen | Nurse Practitioner | 1075 N Curtis Rd, Suite 250, Boise, ID 83706-1300 | 2015-12-14 |
| 1386839132 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 6560 S Federal Way, Boise, ID 83716-9277 | 2007-09-13 |
| 1255526000 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 1515 W State St, Boise, ID 83702-4039 | 2007-09-13 |
| Find all providers in BOISE | ||||
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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.