| Saint Alphonsus Medical Group Iowa | |
|
211 W Iowa Ave Nampa ID 83686-2834 | |
| (208) 465-7377 | |
| (208) 465-7397 |
| Full Name | Saint Alphonsus Medical Group Iowa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 211 W Iowa Ave, Nampa, 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 Iowa 3340 E Goldstone Way Meridian ID 83642-1026 Ph: (208) 367-6275 | Saint Alphonsus Medical Group Iowa 211 W Iowa Ave Nampa ID 83686-2834 Ph: (208) 465-7377 |
| NPI Number | 1326370636 |
|---|---|
| Provider Enumeration Date | 02/11/2010 |
| Last Update Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326370636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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