NPI age
19 years
Enumerated 2007-04-25
● Active Type 2 · Organization
Subpart
Saint Alphonsus Regional Medical Center Inc
Saint Alphonsus Regional Medical Center Inc is 1 of 120 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Checketts
Cfo & Board Member
Last NPPES update
2026-03-16
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
19 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 13% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3025 W Cherry Ln, Suite D
Meridian, ID 83642
Mailing address
901 N Curtis Rd, #204
Boise, ID 837061338
Authorized official
Brian Lannie Checketts
Cfo & Board Member
📞 2083677347
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Rebecca Goodspeed, PA Physician Assistant NPI 1750327797
- Jill Harris, PT Physical Therapist NPI 1710538251
- Arlene Hartley, PA-C Physician Assistant NPI 1194792473
- Diane Hulbert, CNM Advanced Practice Midwife NPI 1619018926
- Olivia Mangeac, PA-C Physician Assistant NPI 1407303340
Specialties
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Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
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Clinic/CenterDefinition to come...
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Clinic/CenterDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SAINT ALPHONSUS REHABILITATION SERVICES
-
SAINT ALPHONSUS REHABILITATION SERVICES
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Subpart of Saint Alphonsus Regional Medical Center Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.