NPI age
19 years
Enumerated 2006-06-15
● Active Type 2 · Organization
Saint Alphonsus Physician Services Inc
Saint Alphonsus Physician Services Inc is 1 of 104 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Reilly
President
Last NPPES update
2007-12-27
Source: monthly bulk 2026-05
How this organization compares
Across 104 active clinic/center providers in Idaho.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3250 W Cherry Ln
Meridian, ID 836421120
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026
Authorized official
Janelle G. Reilly
President
📞 2083676490
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Ji Young An Nurse Practitioner NPI 1205435757
- Amy Blackledge, RN Registered Nurse NPI 1386268332
- Erin Jones, PA Physician Assistant NPI 1255867552
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Saint Alphonsus Medical Group Ten Mile
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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