SAINT ALPHONSUS MEDICAL GROUP ELLIS – NPI #1033123468
Clinic/Center

SAINT ALPHONSUS MEDICAL GROUP ELLIS is an AHC clinic located in CALDWELL, ID. NPPES has assigned the NPI number 1033123468 to SAINT ALPHONSUS MEDICAL GROUP ELLIS on July 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SAINT ALPHONSUS MEDICAL GROUP ELLIS” is a dba name, the actual legal business name for this organization is SAINT ALPHONSUS PHYSICIAN SERVICES INC. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAINT ALPHONSUS MEDICAL GROUP ELLIS below.

NPI Profile for
SAINT ALPHONSUS PHYSICIAN SERVICES INC

NPI Number
1033123468
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Doing Business As (dba): SAINT ALPHONSUS MEDICAL GROUP ELLIS
Primary location
315 ELM
SUITE 100
CALDWELL, ID 83605
Phone: (208) 459-7415 Fax: (208) 454-5113
Mailing address
1819 ELLIS AVE
CALDWELL, ID 83605
Phone: (208) 459-3621 Fax:
Organization Subpart
No
Authorized Official
STEPHEN FRANEY
CEO
Phone: (208) 367-7270
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 ID

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.