Saint Alphonsus Physician Services Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SAINT ALPHONSUS PHYSICIAN SERVICES INC

Doing business as

Saint Alphonsus Medical Group Ten Mile

Practice address

3250 W Cherry LN
Meridian, ID 83642-1120

Phone

(208) 895-8969

NPI assigned

Jun 15, 2006

Last updated

Dec 27, 2007By the provider in NPPES

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 Ten Mile Doing business as

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1821032376",
    "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": "3250 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421120",
            "telephone_number": "208-895-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-12-27",
        "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": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Alphonsus Medical Group Ten Mile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sage Midwifery
• Sage Research Foundation Inc (Crush the Curve Idaho Foundation, LLC)
• Madeline Christine Sage, DPT
• Saint Alphonsus Physician Services Inc (Saint Alphonsus Medical Group Meridian Health Plaza)
• Saint Alphonsus Physician Services Inc (Saint Alphonsus Medical Group Meridian)
• Saint Alphonsus Regional Medical Center Inc (Saint Alphonsus Rehabilitation Services)
• Lauren Michelle Salas
• Kayla Denise Salcido, FNP-C
• Madison Danielle Salinas
• Anthony Joseph Salkas, MSW

• Primary Care Clinic/Center in Meridian, ID
• Providers in Meridian, ID by specialty
• Primary Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.