Organization · Type 2 NPI

Saint Alphonsus Medical Center- Ontario Inc

Rural Health Clinic/Center · Fruitland, ID

NPI number 1760823397 Active

Practice location

910 NW 16th St, Ste 101
Fruitland, ID 83619-2265

Call (208) 452-6851 Map

Mailing address

PO Box 190930
Boise, ID 83719-0930

Specialties and licenses

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

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

6 other providers at this address

Riverside Orthopedic ClinicOrthopaedic Surgery Physician Fruitland, ID NPI 1417326968
Ashley Marshall, MSCPhysical Therapist Fruitland, ID NPI 1720438864
Jeanette Hazel Marie Reiners, DNP, FNPFamily Nurse Practitioner Fruitland, ID NPI 1609418722
Katlin Nicole Foote, FNPFamily Nurse Practitioner Fruitland, ID NPI 1013493576
Kourtney Holder, DNP, FNP-CFamily Nurse Practitioner Fruitland, ID NPI 1447782529
Kurt E. Kracaw, MDFamily Medicine Physician Fruitland, ID NPI 1285723460

Other rural health clinic/center providers in Fruitland

See all in Fruitland →

NPI record

NPI: 1760823397
Entity type: Organization (Type 2)
Issued: Jul 11, 2013
Last updated: Sep 8, 2026
Status: Active
Subpart: Yes of Saint Alphonsus Medical Center Ontario Inc

Other names

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Saint Alphonsus Medical Group Fruitland Health Plaza · doing business as
Saint Alphonsus Medical Group Fruitland Health Plaza · doing business as

Authorized official

Marcie Harper
CFO
(208) 367-7192

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 1760823397

Saint Alphonsus Medical Center- Ontario Inc's National Provider Identifier is 1760823397, issued on Jul 11, 2013. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Fruitland, ID. The record was last updated on Sep 8, 2026.