OrganizationActive
St Alphonsus Regional Medical Center Inc
NPI 1558674663 · Rural Health Clinic/Center · Fruitland, ID
Provider details
- NPI number
- 1558674663
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- St Alphonsus Regional Medical Center Inc
- Organization subpart
- Yes
- Authorized official
- Brian Checketts, Cfo(208) 367-7347
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1118 Nw 16th St
Suite a
Fruitland, ID 83619
Phone: (208) 452-6851
Street-level locationGet directions
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Other names (DBA / former)
- Doing business as
- Saint Alphonsus Medical Group Dominican Health Services
- Doing business as
- Saint Alphonsus Medical Group Dominican Health Services
Registry dates
- Enumerated
- 2010-07-17
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.