Saint Alphonsus Physician Services Inc in Meridian - Physician Assistant
Saint Alphonsus Physician Services Inc - NPI 1992738736
Saint Alphonsus Physician Services Inc is a Physician Assistant in Meridian, Idaho. Saint Alphonsus Physician Services Inc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Saint Alphonsus Physician Services Inc is 1992738736. The last update date is 2007-12-21.
Saint Alphonsus Physician Services Inc's current location address is 3340 E Goldstone Way, Meridian, Idaho. You can contact this provider via phone number 2083675170 and fax number 2083675180. The mailing address for Saint Alphonsus Physician Services Inc is 3340 E Goldstone Way, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Saint Alphonsus Physician Services Inc |
|---|---|
| Address | 3340 E Goldstone Way, Meridian, Idaho |
| Phone Number | 2083675170 |
| Fax Number | 2083675180 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Reilly G. Janelle |
| Telephone Number | 2083676490 |
NPI Number Detail
| NPI Number | 1992738736 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2007-12-21 |
Provider Mailing Address Detail
| Address | 3340 E Goldstone Way |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836421026 |
| Phone Number | 2083675170 |
| Fax Number | 2083675180 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OO2613900 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Saint Alphonsus Physician Services Inc by the Centers for Medicare & Medicaid Services?
The Saint Alphonsus Physician Services Inc has been issued the NPI (National Provider Identifier) 1992738736 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Saint Alphonsus Physician Services Inc located?
The Saint Alphonsus Physician Services Inc is located at 3340 E Goldstone Way, Meridian, ID 836421026.
What is the area of specialization for Saint Alphonsus Physician Services Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Saint Alphonsus Physician Services Inc is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992738736 to Saint Alphonsus Physician Services Inc?
The Saint Alphonsus Physician Services Inc received its 1992738736 assignment from the Centers for Medicare & Medicaid Services on 2006-07-07.
As of what date was the information regarding Saint Alphonsus Physician Services Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Saint Alphonsus Physician Services Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-21.