St Alphonsus Regional Medical Center INC

NPI #1558674663 in Fruitland, Idaho

Provider Information

NPI Number
1558674663
Entity Type
Organization
Organization Name
St Alphonsus Regional Medical Center INC
Subpart
Yes (part of a larger organization)
Parent Organization
ST ALPHONSUS REGIONAL MEDICAL CENTER INC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jul 17, 2010
Last Updated
Jan 24, 2023

Practice Location

Address
1118 NW 16TH ST
Address 2
SUITE A
State
Idaho
ZIP Code
83619
Phone
(208) 452-6851

Authorized Official

Name
BRIAN LANNIE CHECKETTS
Title
CFO
Phone
(208) 367-7347

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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