Organization
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Active
Parent organization
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Other names
Saint Alphonsus Medical Group Elm
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Authorized official
MS. PATRICIA L. BRAHE (COO)
(208) 367-7939
Entity
Organization
Contact information
Practice address
315 E ELM ST, SUITE 100, CALDWELL, ID 83605-4858
(208) 459-7415
(208) 453-3307
Mailing address
315 EAST ELM STREET, SUITE 20, CALDWELL, ID 83605-4881
(208) 453-3383
(208) 453-3290
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
03/03/2008
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