Organization
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Active
Other names
St Alphonsus Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LANNIE CHECKETTS (CFO)
(208) 367-2844
Entity
Organization
Contact information
Practice address
901 N CURTIS RD, #204, BOISE, ID 83706
(208) 367-3315
(208) 367-2674
Mailing address
901 N CURTIS RD, #204, BOISE, ID 83706-1338
(208) 367-6934
(208) 367-6908
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
ID
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002265701
—
ID
Enumeration date
12/18/2006
Last updated
10/17/2024
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