| Saint Alphonsus Medical Center Nampa, Inc. | |
|
4300 E Flamingo Ave Nampa ID 83687-3138 | |
| (208) 205-1000 | |
| Not Available |
| Full Name | Saint Alphonsus Medical Center Nampa, Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 4300 E Flamingo Ave, Nampa, Idaho |
| Authorized Official Name and Position | Travis Leach (PRESIDENT) |
| Authorized Official Contact | 2082050055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Alphonsus Medical Center Nampa, Inc. 4300 E Flamingo Ave Nampa ID 83687-3138 Ph: (208) 205-1000 | Saint Alphonsus Medical Center Nampa, Inc. 4300 E Flamingo Ave Nampa ID 83687-3138 Ph: (208) 205-1000 |
| NPI Number | 1659371870 |
|---|---|
| Provider Enumeration Date | 07/29/2005 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 7113821026 |
|---|---|
| Medicare Enrollment ID | O20031121000788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659371870 | NPI | - | NPPES |
| 002268600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 10 (Idaho) | Primary |
| Provider Name | Peter G Roan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326037342 PECOS PAC ID: 3072597962 Enrollment ID: I20050128000228 |
| Provider Name | Michael A Codina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871540708 PECOS PAC ID: 2062492226 Enrollment ID: I20090106000611 |
| Provider Name | Rory R Ramsey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174634737 PECOS PAC ID: 4789602640 Enrollment ID: I20110222000518 |
| Provider Name | Linda Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427099852 PECOS PAC ID: 9638173941 Enrollment ID: I20120605000389 |
| Provider Name | Lindsey M Foy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083817795 PECOS PAC ID: 8820246390 Enrollment ID: I20120907000603 |
| Provider Name | Carl B Kapadia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164682720 PECOS PAC ID: 6709015936 Enrollment ID: I20150813012388 |
| Provider Name | Amber Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902154149 PECOS PAC ID: 5496062010 Enrollment ID: I20150915001624 |
| Provider Name | John M Pilcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982071940 PECOS PAC ID: 6406163799 Enrollment ID: I20150918001507 |
| Provider Name | Daniel K Arrington |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396065165 PECOS PAC ID: 6103070107 Enrollment ID: I20160302002511 |
| Provider Name | Cameron J Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730594185 PECOS PAC ID: 4284850215 Enrollment ID: I20170524001125 |
| Provider Name | Eli J Harris |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1235472531 PECOS PAC ID: 5294954095 Enrollment ID: I20180628000600 |
| Provider Name | Jeffery A Reese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588084453 PECOS PAC ID: 0042529703 Enrollment ID: I20180706000531 |
| Provider Name | Graham William Donald |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043527286 PECOS PAC ID: 4082886106 Enrollment ID: I20180713002755 |
| Provider Name | Sheev I Dattani |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1760903363 PECOS PAC ID: 6002189693 Enrollment ID: I20180725003808 |
| Provider Name | Nathan Kellis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942688627 PECOS PAC ID: 7810200169 Enrollment ID: I20180817003205 |
| Provider Name | Andrew D Michaels |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588618250 PECOS PAC ID: 9234132317 Enrollment ID: I20181008001304 |
| Provider Name | Vicente Undurraga Perl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083931067 PECOS PAC ID: 1951548940 Enrollment ID: I20181106002627 |
| Provider Name | Christopher A Michaeles |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225060684 PECOS PAC ID: 0244229839 Enrollment ID: I20190806003984 |
| Provider Name | Purushothaman Muthusamy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033473285 PECOS PAC ID: 8426287871 Enrollment ID: I20190806004069 |
| Provider Name | Dennis Dunning |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508847765 PECOS PAC ID: 3779688452 Enrollment ID: I20190808000438 |
| Provider Name | Umberto Gaetano Fontana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033111315 PECOS PAC ID: 0749326601 Enrollment ID: I20190812003890 |
| Provider Name | Nicholas W Hodgman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164439725 PECOS PAC ID: 1153472006 Enrollment ID: I20190912001093 |
| Provider Name | Brennan Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609222355 PECOS PAC ID: 2668766247 Enrollment ID: I20200625002278 |
| Provider Name | Deanna M Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902203755 PECOS PAC ID: 2567788771 Enrollment ID: I20201026000638 |
| Provider Name | Rebecca Jean Carlson Howell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356943815 PECOS PAC ID: 3577967314 Enrollment ID: I20210802001578 |
| Provider Name | Alyson Nielsen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689349433 PECOS PAC ID: 2163828419 Enrollment ID: I20210910002983 |
| Provider Name | Nina Jozelic-walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255826640 PECOS PAC ID: 0345688362 Enrollment ID: I20240409003820 |
Hospitalist Medicine Physicians Of Idaho-tcg, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 E Flamingo Ave, Nampa, ID 83687 Phone: 208-205-1000 | |
Mercy Physician Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-463-5000 Fax: 208-463-5578 | |
Greene Mountain Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3719 Wheeler Cir, Nampa, ID 83686 Phone: 208-695-0388 Fax: 208-606-3682 | |
Terry Reilly Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 1st St S, Nampa, ID 83651 Phone: 208-466-7869 Fax: 208-466-5359 | |
Northwest Nazarene University Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 S University Blvd, Nampa, ID 83686 Phone: 208-467-8643 | |
C-who Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 824 S Diamond St, Nampa, ID 83686 Phone: 208-606-0396 | |
Healing Arts Day Surgery Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W Iowa Ave Ste B, Suite B, Nampa, ID 83686 Phone: 208-467-3432 Fax: 208-467-4147 |