| Organization Name: | SAINT ALPHONSUS MEDICAL CENTER ONTARIO INC |
| NPI Number: | 1760823397 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KARL F. KEELER (PRESIDENT AND CEO) |
| Mailing Address: | 910 Nw 16th St Ste 101 Fruitland |
| State: | ID US |
| Postal Code: | 836192265 |
| Phone Number: | 2084526851 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2013 |
| NPI Last Update Date: | 04/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |