Saint Alphonsus Physician Services Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SAINT ALPHONSUS PHYSICIAN SERVICES INC

Doing business as

Saint Alphonsus Medical Group Park Center

Practice address

471 Baybrook CT
Boise, ID 83706-3900

Phone

(208) 367-4250

Fax

(208) 367-8158

NPI assigned

May 26, 2006

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 4

Addresses

Other names 1

• Saint Alphonsus Medical Group Park Center Doing business as

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198281600000",
    "number": "1871549394",
    "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": "471 BAYBROOK CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063900",
            "telephone_number": "208-367-4250",
            "fax_number": "208-367-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-12-22",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Alphonsus Medical Group Park Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Physicians PA
• Saint Alphonsus Physicians PA
• Saint Alphonsus Physicians, PA

• Internal Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.