| Saint Alphonsus Medical Group Elm | |
|
315 E Elm St Ste 100 Caldwell ID 83605-4858 | |
| (208) 459-7415 | |
| (208) 453-3307 |
| Full Name | Saint Alphonsus Medical Group Elm |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 E Elm St Ste 100, Caldwell, Idaho |
| Authorized Official Name and Position | Brian Lannie Checketts (CFO) |
| Authorized Official Contact | 2083677347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Alphonsus Medical Group Elm 3340 E Goldstone Way Meridian ID 83642-1026 Ph: (208) 367-6275 | Saint Alphonsus Medical Group Elm 315 E Elm St Ste 100 Caldwell ID 83605-4858 Ph: (208) 459-7415 |
| NPI Number | 1508198813 |
|---|---|
| Provider Enumeration Date | 02/11/2010 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 3476462359 |
|---|---|
| Medicare Enrollment ID | O20100629000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508198813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Saint Alphonsus Medical Group Ellis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Elm, Suite 100, Caldwell, ID 83605 Phone: 208-459-7415 Fax: 208-454-5113 | |
Terry Reilly Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2005 Arlington Ave, Caldwell, ID 83605 Phone: 208-318-1362 Fax: 208-345-3502 | |
Core Medicine Of Idaho Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4605 Enterprise Way, Ste 101, Caldwell, ID 83605 Phone: 208-353-7518 | |
Alliance Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 512 N 21st Ave, Caldwell, ID 83605 Phone: 208-985-2875 Fax: 208-985-2876 | |
Saint Alphonsus Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Elm St, Suite 100, Caldwell, ID 83605 Phone: 208-459-7415 Fax: 208-453-3232 | |
West Valley Medical Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-3669 Fax: 208-947-3465 | |
No8 Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 E Elm St, Caldwell, ID 83605 Phone: 208-370-7004 |