P Praxis·MD
● Active Type 2 · Organization

Saint Alphonsus Caldwell Cancer Treatment Center Llc

Clinic/Center·Caldwell, ID· NPI 1497899512 · Enumerated 2007 · 19 years on NPI
Saint Alphonsus Caldwell Cancer Treatment Center Llc is 1 of 2 clinic/center organizations in Idaho.
NPI age
19 years
Enumerated 2007-02-20
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gorman
Manager
Last NPPES update
2025-06-16
Source: monthly bulk 2026-05

How this organization compares

Across 2 active clinic/center providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
3123 Medical Dr Ste A
Caldwell, ID 836056972
📞 2083674808fax 2083674817
Mailing address
3123 Medical Dr Ste A
Caldwell, ID 836056972
📞 2083674808fax 2083674817

Authorized official

Shelly Ann Gorman
Manager
📞 2082050066

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #2 taxonomy 261QX0203X

Other names on file (1)

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

  • Caldwell Cancer Center
    Type code 3 recorded 2018-04-25

Practice context

Single-site organization. Only one practice location on file.

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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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