Organization
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Active
Parent organization
ST. ALPHONSUS REGIONAL MEDICAL CENTER INC
Other names
NURSE PRACTIONER, SAINT ALPHONSUS MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. ALPHONSUS REGIONAL MEDICAL CENTER INC
Authorized official
BRIAN LANNIE CHECKETTS (CFO & BOARD MEMBER)
(208) 367-7347
Entity
Organization
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706
(208) 367-4148
(208) 322-9560
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-4148
(208) 322-9560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
M2
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002267500
—
ID
Enumeration date
05/29/2007
Last updated
06/16/2025
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