NPIMap

Organization Active NPI

Saint Alphonsus Regional Medical Center Inc

  • General Acute Care Hospital
  • Boise, ID
National Provider Identifier
1992736649
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
02 Issued in ID
Legal business name
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 367-4148
Fax
(208) 322-9560
NPI assigned
Jul 5, 2006
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 02 ID Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-4107

Other identifiers 1

IdentifierTypeStateIssuer
002265700MedicaidID

Other names 1

  • SAINT ALPHONSUS ACUTE CARE Other name

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 ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030627000019 ID Part A Provider - Hospital 3476462359 4 other NPIs on this 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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992736649. 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
Part of
Saint Alphonsus Reg Med

Locations

1072 N Liberty St
Ste 100
Boise, ID 83704
Phone (208) 302-1200

6140 W Curtisian Ave
Ste 102
Boise, ID 83704
Phone (208) 367-7787

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.

Facilities with the same owner 157

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 157

Practitioners & affiliated clinicians

Practitioners 353

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 353

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1992736649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-367-4148",
            "fax_number": "208-322-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ID",
            "license": "02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002265700",
            "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": [
        {
            "organization_name": "SAINT ALPHONSUS ACUTE CARE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SAINT ALPHONSUS ACUTE CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.