Organization
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Active
Organization
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Active
Other names
Coughlin Clinic Boise
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LANNIE CHECKETTS (CFO)
(208) 367-7347
Entity
Organization
Contact information
Practice address
1075 N CURTIS RD STE 300, BOISE, ID 83706-1348
(208) 302-3100
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
01/24/2023
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