Saint Alphonsus Regional Medical Center Inc

A Medicare group practice based in Boise, ID: 16 NPIs enrolled under one PECOS associate control ID (PAC ID 3476462359), with 933 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3476462359The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services, Part B Supplier - Clinic/Group Practice
Enrolled in
ID, OR
Enrollments
4
Group size
672 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
177In 16 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20030627000017 ID Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1104045392
O20030627000019 ID Part A Provider - Hospital 1992736649
O20040204001036 ID Part B Supplier - Clinic/Group Practice 1649357716
O20130801000623 OR Part B Supplier - Clinic/Group Practice 1861676298

NPIs in this group 16

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 933

Page 1 of 10

Clinicians who reassign their Medicare benefits to this group (931) or whom Care Compare lists as members (672).

Sources for this page