Saint Alphonsus Regional Medical Center INC

NPI #1104045392 in Meridian, Idaho

Provider Information

NPI Number: 1104045392
Entity Type: Organization
Organization Name: Saint Alphonsus Regional Medical Center INC
Subpart: Yes (part of a larger organization)
Parent Organization: SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Apr 25, 2007
Last Updated: Jun 16, 2025

Practice Location

Address: 3025 W CHERRY LN
Address 2: SUITE D
City: Meridian
State: Idaho
ZIP Code: 83642
Phone: (208) 367-8593

Authorized Official

Name: BRIAN LANNIE CHECKETTS
Title: CFO & BOARD MEMBER
Phone: (208) 367-2844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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