Saint Alphonsus Medical Group Emerald

LBN: Saint Alphonsus Physician Services Inc
Saint Alphonsus Medical Group Emerald is an health care organization with primary practice located at 6533 W Emerald St , Boise ID 83704-8737. 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) 367-4170, or through Reilly, Janelle G. via phone (208) 367-6490.

Contact Information

Primary practice address
6533 W Emerald St Boise ID 83704-8737
Phone: (208) 367-4170
Fax: (208) 367-8135
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 1992738736
LBN Legal business name Saint Alphonsus Physician Services Inc
DBA Doing business as Saint Alphonsus Medical Group Emerald
Authorized official Reilly, Janelle G.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Dec 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992738736 NPPES
Idaho MEDICAID OO2613900

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