| Organization Name: | SAINT ALPHONSUS PHYSICIAN SERVICES INC |
| NPI Number: | 1033123468 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN FRANEY (CEO) |
| Mailing Address: | 315 Elm Suite 100 Caldwell |
| State: | ID US |
| Postal Code: | 83605 |
| Phone Number: | 2084597415 |
| Fax Number: | 2084545113 |
| NPI Enumeration Date: | 07/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |