| St. Alphonsus Reg Med | |
|
1055 N Curtis Rd Boise ID 83706 | |
| (208) 367-6230 | |
| (208) 367-3016 |
| Full Name | St. Alphonsus Reg Med |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1055 N Curtis Rd, Boise, Idaho |
| Authorized Official Name and Position | Brian Lannie Checketts (CFO) |
| Authorized Official Contact | 2083677347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Alphonsus Reg Med 1055 N Curtis Rd Boise ID 83706-1309 Ph: (208) 367-6230 | St. Alphonsus Reg Med 1055 N Curtis Rd Boise ID 83706 Ph: (208) 367-6230 |
| NPI Number | 1770687857 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 06/16/2025 |
| Certification Date | 06/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770687857 | NPI | - | NPPES |
| 805034500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2 (Idaho) | Primary |
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Cda Solution Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10080 W Smoke Ranch Dr, Boise, ID 83709 Phone: 208-703-6004 | |
Commonplace Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 500 W Bannock St, Boise, ID 83702 Phone: 208-906-5878 | |
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