SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC – NPI #1053522961
Radiologic Technologist

A radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in administration of radiation therapy, exam techniques, equipment protocols, radiation safety, and patient care.

Health Care Provider Taxonomy Code for Radiologic Technologist

SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC is a radiologic technologist located in CALDWELL, ID. NPPES has assigned the NPI number 1053522961 to SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC on May 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2471R0002X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist, specializing in Radiography Radiologic Technologist

The NPI profile was last updated on Mar 16, 2026. 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 CALDWELL CANCER TREATMENT CENTER LLC below.

NPI Profile for
SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC

NPI Number
1053522961
Enumeration Date

(more than 19 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 CALDWELL CANCER TREATMENT CENTER LLC
Primary location
3123 MEDICAL DR STE A
CALDWELL, ID 83605-6972
Phone: (208) 455-2033 Fax: (208) 367-4817
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHELLY GORMAN
MANAGER
Phone: (208) 205-0066
Updated
Certification Date
Mar 16, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2471R0002X
- Radiologic Technologist / Radiography Radiologic Technologist (Primary)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669