Saint Alphonsus Regional Medical Center

NPI #1124354519 in Caldwell, Idaho

Provider Information

NPI Number: 1124354519
Entity Type: Organization
Organization Name: Saint Alphonsus Regional Medical Center
Primary Specialty: Family Medicine
Enumeration Date: Oct 20, 2009
Last Updated: Oct 17, 2024

Practice Location

Address: 315 E ELM ST
Address 2: SUITE 100
City: Caldwell
State: Idaho
ZIP Code: 83605-4857
Phone: (208) 459-7415

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
Physician Assistant	363A00000X
Advanced Practice Midwife	367A00000X
Family Medicine	207Q00000X	Primary

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