Organization
SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC
Active
Other names
Saint Alphonsus Medical Center Ontario
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LANNIE CHECKETTS (CFO)
(208) 367-7347
Entity
Organization
Contact information
Practice address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7373
(541) 881-7186
Mailing address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7373
(541) 881-7186
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
14-1470
OR
3336I0012X
Institutional Pharmacy
RP0000802
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003346500
—
OR
01
—
3813082
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/16/2006
Last updated
08/08/2025
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