Organization
ST. ALPHONSUS REGIONAL MEDICAL CENTER INC
Active
Organization
ST. ALPHONSUS REGIONAL MEDICAL CENTER INC
Active
Parent organization
ST ALPHONSUS REG MED
Other names
ST. ALPHONSUS ADDICTION RECOVERY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST ALPHONSUS REG MED
Authorized official
BRIAN LANNIE CHECKETTS (CFO)
(208) 367-7347
Entity
Organization
Contact information
Practice address
6138 W EMERALD ST, BOISE, ID 83704-8857
(208) 367-3069
(208) 367-3002
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-3069
(208) 367-3002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
ID
1041C0700X
Clinical Social Worker
Primary
—
ID
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
02/02/2007
Last updated
06/16/2025
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