Organization Name: | SAINT ALPHONSUS MEDICAL CENTER-NAMPA, INC. |
NPI Number: | 1558362103 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN L CHECKETTS (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 1512 12th Ave Rd Nampa |
State: | ID US |
Postal Code: | 836866008 |
Phone Number: | 2084635220 |
Fax Number: | 2084635832 |
NPI Enumeration Date: | 08/04/2005 |
NPI Last Update Date: | 04/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 10 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |