P Praxis·MD
● Active Type 2 · Organization

Saint Alphonsus Regional Medical Center

Preventive Medicine·Boise, ID· NPI 1144673021 · Enumerated 2016 · 9 years on NPI
Saint Alphonsus Regional Medical Center is 1 of 5 preventive medicine organizations in Idaho.
NPI age
9 years
Enumerated 2016-07-15
Primary specialty
Preventive Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Checketts
Cfo
Last NPPES update
2024-10-17
Source: monthly bulk 2026-05

How this organization compares

Across 5 active preventive medicine providers in Idaho.

NPI age
9 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 60% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-07Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
6533 W Emerald St
Boise, ID 837048737
📞 2083027600fax 2083027605
Mailing address
6533 W Emerald St
Boise, ID 837048737
📞 2083027600fax 2083027605

Authorized official

Brian Lannie Checketts
Cfo
📞 2083672844

Individual providers at this organization

13 individual providers on file at this primary practice address.

Specialties

  • Preventive Medicine Primary
    A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
    ID license #M-5535 taxonomy 2083P0500X
  • Preventive Medicine
    Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures....
    taxonomy 2083X0100X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • SAMG Occ Med Roster Billing
    Type code 3 recorded 2018-04-25
  • SAMG Occ Med Roster Billing
    Type code 3 recorded 2016-07-15

Practice context

Multi-provider organization. 13 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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