NPIMap

Organization Active NPI

Saint Alphonsus Physician Services Inc

Doing business as Saint Alphonsus Medical Group Iowa

  • Rural Health Clinic/Center
  • Nampa, ID
National Provider Identifier
1487858023
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Doing business as
Saint Alphonsus Medical Group Iowa
Practice address
211 W Iowa Ave
Nampa, ID 83686-2834
Phone
(208) 465-7377
Fax
(208) 465-7397
NPI assigned
Jun 14, 2007
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT ALPHONSUS PHYSICIAN SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Ms. Patricia L. Brahe
Title
Coo
Phone
(208) 367-7939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

211 W Iowa Ave
Nampa, ID 83686-2834

Mailing address

315 East Elm Street
Suite 20
Caldwell, ID 83605-4881
Phone (208) 453-3383

Other names 1

  • Saint Alphonsus Medical Group Iowa Doing business as

National Provider Directory

National Provider Directory
Part of
St Alphonsus Phys Servi

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1487858023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 EAST ELM STREET",
            "address_2": "SUITE 20",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054881",
            "telephone_number": "208-453-3383",
            "fax_number": "208-453-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W IOWA AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862834",
            "telephone_number": "208-465-7377",
            "fax_number": "208-465-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT ALPHONSUS PHYSICIAN SERVICES INC",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BRAHE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "208-367-7939",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Alphonsus Medical Group Iowa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.