| NPI | 1508198813 |
|---|---|
| Doing Business As | SAINT ALPHONSUS MEDICAL GROUP ELM |
| Entity Type | Organization |
| Authorized Contact | BRIAN LANNIE CHECKETTS CFO 208-367-7347 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2023-01-24 |