Saint Alphonsus Physician Services Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SAINT ALPHONSUS PHYSICIAN SERVICES INC

Doing business as

Saint Alphonsus Medical Group Internal Medicine

Practice address

6094 W Emerald St
Boise, ID 83704-8855

Phone

(208) 367-6575

Fax

(208) 367-6597

NPI assigned

May 12, 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 1

Addresses

Other names 1

• Saint Alphonsus Medical Group Internal Medicine Doing business as

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1184674764",
    "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": "6094 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048855",
            "telephone_number": "208-367-6575",
            "fax_number": "208-367-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-12-21",
        "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": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Alphonsus Medical Group Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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
• Saint Alphonsus Physician Services Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.