| Saint Alphonsus Medical Group Ellis | |
|
315 Elm Suite 100 Caldwell ID 83605 | |
| (208) 459-7415 | |
| (208) 454-5113 |
| Full Name | Saint Alphonsus Medical Group Ellis |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 315 Elm, Caldwell, Idaho |
| Authorized Official Name and Position | Stephen Franey (CEO) |
| Authorized Official Contact | 2083677270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Alphonsus Medical Group Ellis 1819 Ellis Ave Caldwell ID 83605 Ph: (208) 459-3621 | Saint Alphonsus Medical Group Ellis 315 Elm Suite 100 Caldwell ID 83605 Ph: (208) 459-7415 |
| NPI Number | 1033123468 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033123468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Idaho) | Primary |
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