OrganizationActive
Saint Alphonsus Medical Center- Ontario Inc
NPI 1760823397 · Rural Health Clinic/Center · Fruitland, ID
Provider details
- NPI number
- 1760823397
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Saint Alphonsus Medical Center Ontario Inc
- Organization subpart
- Yes
- Authorized official
- Brian Checketts, Cfo(208) 367-7347
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
910 Nw 16th St
Ste 101
Fruitland, ID 83619-2265
Phone: (208) 452-6851
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Other names (DBA / former)
- Doing business as
- Saint Alphonsus Medical Group Fruitland Health Plaza
- Doing business as
- Saint Alphonsus Medical Group Fruitland Health Plaza
Registry dates
- Enumerated
- 2013-07-11
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.