St. Alphonsus Reg Med

NPI #1770687857 in Boise, Idaho

Provider Information

NPI Number
1770687857
Entity Type
Organization
Organization Name
St. Alphonsus Reg Med
Subpart
Yes (part of a larger organization)
Parent Organization
ST. ALPHONSUS REG MED
Primary Specialty
Psychiatric Unit
Enumeration Date
Sep 11, 2006
Last Updated
Jun 16, 2025

Practice Location

Address
1055 N CURTIS RD
City
Boise
State
Idaho
ZIP Code
83706
Phone
(208) 367-6230

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Psychiatric Unit

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