NPIMap

Organization Active NPI

Saint Alphonsus Regional Medical Center Inc

  • Family Medicine Physician
  • Caldwell, ID
National Provider Identifier
1861676298
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Practice address
712 Aviation Way
Caldwell, ID 83605-1154
Phone
(208) 302-1000
Fax
(208) 302-1035
NPI assigned
Dec 20, 2007
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Advanced Practice Midwife 367A00000X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X
Pulmonary Disease Physician 207RP1001X
Obstetrics & Gynecology Physician 207V00000X
Orthopaedic Surgery Physician 207X00000X
Pediatrics Physician 208000000X
Neurology Physician 2084N0400X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
Hospitalist Physician 208M00000X
Pain Medicine Physician 208VP0000X

Addresses

Primary practice location

712 Aviation Way
Caldwell, ID 83605-1154

Mailing address

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-5170

Other identifiers 1

IdentifierTypeStateIssuer
806290700MedicaidID

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20030627000019 ID Part A Provider - Hospital 3476462359 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20040204001036 ID Part B Supplier - Clinic/Group Practice 3476462359 Receives reassigned benefits from 927 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20130801000623 OR Part B Supplier - Clinic/Group Practice 3476462359 Receives reassigned benefits from 57 practitioners
Practice locations: Baker City, OR; Ontario, OR; La Grande, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861676298. Details of each certification follow.

Hospital certification: CCN 130007

Legal name
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Doing business as
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 1, 2012
Beds
365
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1958 in ID
Enrollment address
1055 N Curtis Rd
Boise, ID 83706-1309
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Saint Alphonsus Regional Medical CenterCCN 130007 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

11035 W Karcher Rd
Nampa, ID 83651
Phone (208) 302-6600

3175 Pocahontas Rd
Baker City, OR 97814
Phone (208) 302-2200

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Edward Avey Individual Corporate DirectorBoard Member Jan 1, 2026
Brian L Checketts Individual Corporate OfficerCfo & Treasure Dec 14, 2016
Operational/Managerial ControlCfo & Treasure Dec 14, 2016
Tonja Lee Nielsen Individual Corporate DirectorBoard Member Jan 2, 2022
Connie Russell Tanaka Individual Corporate DirectorBoard Memeber Jan 1, 2026
Saint Alphonsus Health System Inc Organization, Boise, ID Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 3, 2010 100%
Elsbeth Mulvaney Individual Corporate DirectorBoard Member Jan 1, 2026
Marie Guadalupe Wissel Individual Corporate DirectorBoard Member Jan 1, 2020
Michael Coughlin Individual Corporate DirectorBoard Member Jan 1, 2022
Jason D Wright Individual Corporate DirectorBoard Member Jan 1, 2026
David McFadyen Individual Corporate DirectorBoard Member Jul 20, 2020
Adam Richins Individual Corporate OfficerBoard Chair Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2022
Angela Faye Taylor Individual Corporate OfficerBoard Vice Chair Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2022
Marcie Harper Individual W-2 Managing EmployeeVP Finance Jun 25, 2018
Operational/Managerial ControlVP Finance Jun 25, 2018
Travis Leach Individual Corporate OfficerPresident May 27, 2025
Corporate DirectorBoard Member May 27, 2025
Stephanie C Westermeier Individual Corporate OfficerSecretary Jan 20, 2010
Irma Roci Valdivia Barba Individual Corporate DirectorBoard Member Jan 1, 2025
Robert Ladenburger Individual Corporate DirectorBoard Member Jan 1, 2023
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest May 1, 2000 100%
Michael Joseph Ballantyne Individual Corporate DirectorBoard Member Mar 6, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Saint Alphonsus Regional Rehabilitation Hospital, an Affiliate of EncoBoise, ID, CCN 133028 Hospital 5% Or Greater Indirect Ownership Interest (49%) Jan 29, 2018
Enhabit Home Health & HospiceBoise, ID, CCN 137006 Home health agency 5% Or Greater Direct Ownership Interest (50%) Jun 30, 2014
Enhabit Home Health & HospiceBoise, ID, CCN 131507 Hospice 5% Or Greater Direct Ownership Interest (50%) Jun 30, 2014

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 531

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 531

Affiliated clinicians 1,423

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,423

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1861676298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "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": "712 AVIATION WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836051154",
            "telephone_number": "208-302-1000",
            "fax_number": "208-302-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "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": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806290700",
            "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": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.