Organization · Type 2 NPI

Saint Alphonsus Physician Services Inc

Rural Health Clinic/Center · Nampa, ID

NPI number 1275737819 Active

Practice location

1200 Garrity Blvd
Nampa, ID 83687-3402

Call (208) 466-9092 Map

Fax (208) 466-5322

Mailing address

315 East Elm Street, Suite 20
Caldwell, ID 83605-4881

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

7 other providers at this address

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NPI record

NPI: 1275737819
Entity type: Organization (Type 2)
Issued: Jun 14, 2007
Last updated: Jun 23, 2008
Status: Active
Subpart: Yes of Saint Alphonsus Physician Services Inc

Other names

<unavail>
Saint Alphonsus Medical Group Garrity · doing business as

Authorized official

Ms. Patricia L. Brahe
COO
(208) 367-7939

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275737819

Saint Alphonsus Physician Services Inc's National Provider Identifier is 1275737819, issued on Jun 14, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Nampa, ID. The record was last updated on Jun 23, 2008.