Organization
ST ALPHONSUS REGIONAL MEDICAL CENTER INC
Active
Parent organization
ST ALPHONSUS REGIONAL MEDICAL CENTER INC
Other names
Saint Alphonsus Medical Group Dominican Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST ALPHONSUS REGIONAL MEDICAL CENTER INC
Authorized official
BRIAN LANNIE CHECKETTS (CFO)
(208) 367-7347
Entity
Organization
Contact information
Practice address
1118 NW 16TH ST, SUITE A, FRUITLAND, ID 83619
(208) 452-6851
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-6275
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2010
Last updated
01/24/2023
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