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NPI 1487111472
● Active Type 2 · Organization
Saint Alphonsus Regional Medical Center Inc
Durable Medical Equipment & Medical Supplies · Boise, ID · NPI 1487111472
·
Enumerated 2019 · 7 years on NPI
Saint Alphonsus Regional Medical Center Inc is 1 of 264 durable medical equipment & medical supplies organizations in Idaho.
NPI age
7 years
Enumerated 2019-02-26
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Checketts
Cfo
Last NPPES update
2023-01-24
Source: monthly bulk 2026-05
How this organization compares
Across 264 active durable medical equipment & medical supplies providers in Idaho.
NPI age
7 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2019 → 2026
2019-02 Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
6165 W Emerald St
Boise, ID 837048613
📞 2083023500
Mailing address
3340 E Goldstone Dr
Meridian, ID 836421026
📞 2083029345
Authorized official
Brian Lannie Checketts
Cfo
📞 2083677347
Individual providers at this organization
17 individual providers on file at this primary practice address.
Katherine Anderson , NP
Nurse Practitioner
NPI 1760951537
Daniel Bechtold , MD
Orthopaedic Surgery
NPI 1124548730
Loren Black , MD MBA
Orthopaedic Surgery
NPI 1972008373
Mitchell Bliss , PA
Physician Assistant
NPI 1760144687
Sheldon Burgess , ATC, LAT, CSMS-1
Specialist/Technologist
NPI 1811545684
Nikola Cafarelli , PA
Physician Assistant
NPI 1194488742
Eric Culbertson , PA
Physician Assistant
NPI 1134358104
Justin Fowler , MD
Surgery
NPI 1386835585
Devin Hansen , PA-C
Physician Assistant
NPI 1699361568
Tracye Lawyer , MD, PHD
Orthopaedic Surgery
NPI 1003170325
Cheyenne Lillis , MAT, LAT, ATC, NREMT
Student in an Organized Health Care Education/Training Program
NPI 1376392506
Mariah Ollive , PA-C
Physician Assistant
NPI 1467134866
Jamie Page , PA-C
Physician Assistant
NPI 1740650316
Mason Rankin , PA
Physician Assistant
NPI 1295518447
Samuel Thomas , PA-C
Physician Assistant
NPI 1497285688
Christine Trifiletti
Specialist/Technologist
NPI 1588370357
Jonathan Vaux , D.O.
Orthopaedic Surgery
NPI 1194137968
Specialties
Durable Medical Equipment & Medical Supplies
Primary
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
taxonomy 332B00000X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Joint Center of Excellence
Type code 3
recorded 2023-01-24
Joint Center of Excellence
Type code 3
recorded 2019-02-26
Practice context
Multi-provider organization.
17 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.