Organization
SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC
Active
Other names
SAMG Glycemic Ontario
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LANNIE CHECKETTS (CFO)
(208) 367-7347
Entity
Organization
Contact information
Practice address
351 SW 9TH AVE, ONTARIO, OR 97914-2639
(541) 881-7480
(541) 881-7147
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
163W00000X
Registered Nurse
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
Other
Enumeration date
01/21/2015
Last updated
01/24/2023
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