Organization
SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC
Active
Other names
Saint Alphonsus Medical Group Baker City
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LANNIE CHECKETTS (CFO)
(208) 367-7347
Entity
Organization
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814-1464
(541) 524-2965
(541) 524-8151
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178061
—
OR
05
—
500619115
—
OR
05
—
809590
—
OR
Enumeration date
03/12/2007
Last updated
03/02/2026
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