NPI age
12 years
Enumerated 2013-07-11
● Active Type 2 · Organization
Subpart
Saint Alphonsus Medical Center- Ontario Inc
Saint Alphonsus Medical Center- Ontario 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
2026-03-02
Source: monthly bulk 2026-05
How this organization compares
Across 61 active clinic/center providers in Idaho.
NPI age
12 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-07Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
910 Nw 16th St, Ste 101
Fruitland, ID 836192265
Mailing address
Po Box 190930
Boise, ID 837190930
Authorized official
Brian Lannie Checketts
Cfo
📞 2083677347
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Katlin Foote, FNP Nurse Practitioner NPI 1013493576
- Kourtney Holder, DNP, FNP-C Nurse Practitioner NPI 1447782529
- Kurt Kracaw, MD Family Medicine NPI 1285723460
- Ashley Marshall, MSC Physical Therapist NPI 1720438864
- Jeanette Reiners, DNP, FNP Nurse Practitioner NPI 1609418722
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 Fruitland Health Plaza
-
Saint Alphonsus Medical Group Fruitland Health Plaza
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Subpart of Saint Alphonsus Medical Center Ontario Inc.
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