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Saint Alphonsus Regional Medical Center Inc

Organization Active NPI Physical Therapy Clinic/Center · Meridian, ID

NPI 1104045392 · NPPES record last updated Mar 16, 2026

Key facts

NPI
1104045392
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Legal business name
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Practice address
3025 W Cherry LN
Suite D
Meridian, ID 83642
Phone
(208) 367-8593
Fax
(208) 367-8595
NPI assigned
Apr 25, 2007
Organization subpart
Yes
Parent organization (as reported)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

Authorized official

Name
Brian Lannie Checketts
Title
Cfo & Board Member
Phone
(208) 367-7347

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 672

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 672

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ID

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Saint Alphonsus Regional Rehabilitation Hospital, an Affiliate of Enco
Boise, ID · CCN 133028		 Hospital 5% Or Greater Indirect Ownership Interest (49%) Jan 29, 2018
Enhabit Home Health & Hospice
Boise, ID · CCN 137006		 Home health agency 5% Or Greater Direct Ownership Interest (50%) Jun 30, 2014
Enhabit Home Health & Hospice
Boise, ID · CCN 131507		 Hospice 5% Or Greater Direct Ownership Interest (50%) Jun 30, 2014

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20030627000017 ID Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3476462359 10 other NPIs on this enrollment
Practice locations: Meridian, ID; Eagle, ID; Boise, ID

National Provider Directory

Tax ID family
J D Harviel MD (25 organizations share this tax ID)
Part of
J D Harviel MD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X ID
Physical Therapy Clinic/Center 261QP2000X ID Yes
Rehabilitation Clinic/Center 261QR0400X ID

Addresses

Primary practice location

3025 W Cherry LN
Suite D
Meridian, ID 83642

Mailing address

901 N Curtis Rd
#204
Boise, ID 83706-1338
Phone (208) 367-8950

Other names

  • SAINT ALPHONSUS REHABILITATION SERVICES Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Other providers in Meridian, ID

All providers in Meridian, ID · Physical Therapy Clinic/Center in Idaho

Sources for this page

Verify at the official NPI Registry.