Saint Alphonsus Medical Group Shoreline

LBN: Saint Alphonsus Physician Services Inc
Saint Alphonsus Medical Group Shoreline is an health care organization with primary practice located at 1673 Shoreline Drive Suite 120, Boise ID 83702-6749. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Saint Alphonsus Physician Services Inc can be contacted via phone (208) 429-8311, or through Reilly, Janelle G. via phone (208) 367-6490.

Contact Information

Primary practice address
1673 Shoreline Drive Suite 120 Boise ID 83702-6749
Phone: (208) 429-8311
Fax: (208) 429-8310
Website:
Map and Directions
Authorized official contact:
Name: Reilly, Janelle G.
Phone: (208) 367-6490

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1073559449
LBN Legal business name Saint Alphonsus Physician Services Inc
DBA Doing business as Saint Alphonsus Medical Group Shoreline
Authorized official Reilly, Janelle G.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Dec 24th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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