Saint Alphonsus Physician Services Inc

Organization Active NPI Family Medicine Physician · Meridian, ID

NPI 1801820501 · NPPES record last updated Dec 22, 2007

Key facts

NPI
1801820501
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Practice address
1001 N Meridian Rd
Meridian, ID 83642-2243
Phone
(208) 888-5406
Fax
(208) 888-4948
NPI assigned
Jul 10, 2006
Organization subpart
No

Authorized official

Name
Ms. Janelle G. Reilly
Title
President
Phone
(208) 367-6490

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

1001 N Meridian Rd
Meridian, ID 83642-2243

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 367-5170

Other names

  • Saint Alphonsus Medical Group Meridian Doing business as

Other providers in Meridian, ID

All providers in Meridian, ID · Family Medicine Physician in Idaho

Sources for this page

Verify at the official NPI Registry.