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Organization

SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

Active
Other names
ST. ALPHONSUS BEHAVIORAL HEALTH
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN LANNIE CHECKETTS (CFO & BOARD MEMBER)
(208) 367-2844
Entity
Organization

Contact information

Practice address
131 ALLUMBAUGH ST, BOISE, ID 83704-9204
(208) 367-3069
(208) 367-3002
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-3069
(208) 367-3002

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
104100000X
Social Worker
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
02/05/2007
Last updated
10/17/2024
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