Saint Alphonsus Caldwell Cancer Treatment Center LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

2 Issued in ID

Legal business name

SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC

Practice address

3123 Medical Dr Ste a
Caldwell, ID 83605-6972

Phone

(208) 367-4808

Fax

(208) 367-4817

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Addresses

Other names 1

• Caldwell Cancer Center Doing business as

Electronic endpoints 1

Tax ID family

Caldwell Cancer Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Saint Alphonsus Caldwell Cancer Treatment Center LLC

  • Radiation Therapy Radiologic Technologist
  • Caldwell, ID
  • NPI 1053522961
  NPD tax ID

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1497899512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 MEDICAL DR STE A",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056972",
            "telephone_number": "208-367-4808",
            "fax_number": "208-367-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 MEDICAL DR STE A",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056972",
            "telephone_number": "208-367-4808",
            "fax_number": "208-367-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "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": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "ID",
            "license": "2",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "Caldwell Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Angelo Ruvalcaba I, DPT ATC
• RWW International Inc
• Andrew Ryan, PA-C
• Sadie Nebeker, LCSW, PLLC
• Saint Alphonsus Caldwell Cancer Treatment Center LLC
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Regional Medical Center
• Saint Alphonsus Regional Medical Center Inc

• Radiation Oncology Clinic/Center in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Radiation Oncology Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.