Active NPI
St Alphonsus Reg Med
- Durable Medical Equipment & Medical Supplies
- Boise, ID
National Provider Identifier
1366522872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2
- Legal business name
- ST ALPHONSUS REG MED
- Practice address
- 1055 N Curtis Rd
Boise, ID 83706-1309 - Phone
- (208) 367-3069
- Fax
- (208) 367-3016
- NPI assigned
- Oct 17, 2006
- Last updated
- Sep 11, 2026
- Organization subpart
- Yes
- Parent organization
- ST. ALPHONSUS REG MED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcie Harper
- Title
- Cfo
- Phone
- (208) 367-7192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2 | ID | Primary |
Addresses
Primary practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-3069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002267900 | Medicaid | ID |
Other names 1
- DURABLE MEDICAL EQUIPMENT AND MEDICAL SUPPLIES
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
National Provider Directory
National Provider Directory- Tax ID family
- Senior Family Services
- Part of
- Senior Family Services
Other organizations with this tax ID 24
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1124354519
-
dba SAMG Occ Med Roster Billing
- Preventive Medicine/Occupational Environmental Medicine Physician
- Boise, ID
- NPI 1144673021
-
dba St. Alphonsus EAP
- Mental Health Counselor
- Boise, ID
- NPI 1699890574
-
- General Acute Care Hospital
- Boise, ID
- NPI 1952739765
-
dba St. Alphonsus Behavioral Health
- Professional Counselor
- Boise, ID
- NPI 1013056316
-
dba Saint Alphonsus Medical Group
- Nurse Practitioner
- Boise, ID
- NPI 1083815294
-
dba Saint Alphonsus Rehabilitation Services
- Physical Therapy Clinic/Center
- Meridian, ID
- NPI 1104045392
-
dba Saint Alphonsus RMC TVL
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
dba Coughlin Clinic Boise
- Durable Medical Equipment & Medical Supplies
- Boise, ID
- NPI 1235696212
-
dba Saint Alphonsus Rehabilitation Services
- Physical Therapist
- Boise, ID
- NPI 1295954485
-
dba Saint Alphonsus Rehabilitation Services
- Pain Clinic/Center
- Boise, ID
- NPI 1346469533
-
dba Saint Alphonsus Rehabilitation Services
- Recreation Therapist
- Boise, ID
- NPI 1437378627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1366522872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-3069",
"fax_number": "208-367-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837061309",
"telephone_number": "208-367-3069",
"fax_number": "208-367-3016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST ALPHONSUS REG MED",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. ALPHONSUS REG MED",
"enumeration_date": "2006-10-17",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "HARPER",
"authorized_official_first_name": "MARCIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "208-367-7192"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "ID",
"license": "2",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002267900",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "DURABLE MEDICAL EQUIPMENT AND MEDICAL SUPPLIES",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "DURABLE MEDICAL EQUIPMENT AND MEDICAL SUPPLIES",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boise, ID
- Kenneth Edward Squires III, D.O.
- Emily Rose Ann Squyer, MD
- St Alphonsus Professional Medical Services LLC (St Alphonsus Trauma Physician Services)
- St Alphonsus Professional Medical Services LLC (SAMG Anesthesia)
- St Alphonsus Professional Medical Services LLC (St Alphonsus Oncology Physician Services)
- St Alphonsus Regional Med
- St Alphonsus Regional Medical Center (St Alphonsus Rehabilitation Services)
- St Clair Specialty Physicians
- Nicole Gaylene St Germain
- St Luke's Humphreys Diabetes Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.