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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