Saint Alphonsus Physician Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAINT ALPHONSUS PHYSICIAN SERVICES INC

Doing business as

Saint Alphonsus Medical Group Shoreline

Practice address

1673 Shoreline Drive
Suite 120
Boise, ID 83702-6749

Phone

(208) 429-8311

Fax

(208) 429-8310

NPI assigned

Jun 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Janelle G. Reilly

Title

President

Phone

(208) 367-6490

Specialties & licenses 3

Addresses

Other names 1

• Saint Alphonsus Medical Group Shoreline Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1073559449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 SHORELINE DRIVE",
            "address_2": "SUITE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026749",
            "telephone_number": "208-429-8311",
            "fax_number": "208-429-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-367-6490",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Alphonsus Medical Group Shoreline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saint Alphonsus Health System Inc
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• Saint Alphonsus Home Health and Hospice, LLC
• Saint Alphonsus Nephrology Center
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc

• Family Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.