Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Saint Alphonsus Regional Medical Center

Organization Preventive Medicine/Occupational Environmental Medicine Physician · NPI 1144673021

Saint Alphonsus Regional Medical Center is a Preventive Medicine/Occupational Environmental Medicine Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016
Specialties on file
2

Practice location Address checks out

6533 W Emerald St
Boise, ID 83704-8737
Phone: (208) 302-7600
Fax: (208) 302-7605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preventive Medicine/Occupational Environmental Medicine Physician (primary) Taxonomy 2083P0500X · Licence M-5535 (ID)
Occupational Medicine Physician Taxonomy 2083X0100X

Record details

NPI number1144673021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Checketts — Cfo · (208) 367-2844
Other names Samg Occ Med Roster Billing; Samg Occ Med Roster Billing
NPI enumeratedJuly 15, 2016
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address6533 W Emerald St, Boise, ID 83704-8737

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