| Saint Alphonsus Medical Group Dominican Health Services | |
|
1118 Nw 16th St Suite A Fruitland ID 83619 | |
| (208) 452-6851 | |
| Not Available |
| Full Name | Saint Alphonsus Medical Group Dominican Health Services |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1118 Nw 16th St, Fruitland, 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 |
|---|---|
| Saint Alphonsus Medical Group Dominican Health Services 3340 E Goldstone Way Meridian ID 83642-1026 Ph: (208) 367-6275 | Saint Alphonsus Medical Group Dominican Health Services 1118 Nw 16th St Suite A Fruitland ID 83619 Ph: (208) 452-6851 |
| NPI Number | 1558674663 |
|---|---|
| Provider Enumeration Date | 07/17/2010 |
| Last Update Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558674663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Snake River Pediatrics, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Nw 12th St, Fruitland, ID 83619 Phone: 208-452-6556 Fax: 541-216-6557 | |
Dominican Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-6851 Fax: 541-881-7156 | |
Saint Alphonsus Medical Group Fruitland Health Plaza Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 910 Nw 16th St, Ste 101, Fruitland, ID 83619 Phone: 208-452-6851 | |
The Gardens Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 N Whitley Dr, Fruitland, ID 83619 Phone: 208-695-0098 |