NPI age
15 years
Enumerated 2010-07-17
● Active Type 2 · Organization
Subpart
St Alphonsus Regional Medical Center Inc
St Alphonsus Regional Medical Center Inc is 1 of 61 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
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 61 active clinic/center providers in Idaho.
NPI age
15 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1118 Nw 16th St, Suite A
Fruitland, ID 83619
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026
Authorized official
Brian Lannie Checketts
Cfo
📞 2083677347
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Jan Dahlin, M.D. Orthopaedic Surgery NPI 1306834643
- Ryan Zimmerly, PHARM.D Pharmacist NPI 1447269691
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Saint Alphonsus Medical Group Dominican Health Services
-
Saint Alphonsus Medical Group Dominican Health Services
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of St Alphonsus Regional Medical Center Inc.
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- 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.