SAINT ALPHONSUS MEDICAL GROUP SHORELINE
NPI 1073559449
Family Medicine in Boise, ID

Q: What is Saint Alphonsus Physician Services Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 22, 2006

1673 SHORELINE DRIVE, SUITE 120, BOISE, ID 83702(208) 429-8311(208) 429-8310 Get Directions Write a Review

NPPES record last updated: December 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Saint Alphonsus Medical Group Shoreline NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAINT ALPHONSUS MEDICAL GROUP SHORELINE (NPI 1073559449) is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since June 2006. The organization lists Janelle G. Reilly, President, as its authorized official.

NPPES Registry Identity

NPI1073559449

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSAINT ALPHONSUS PHYSICIAN SERVICES INC

Location Address1673 SHORELINE DRIVE, SUITE 120Boise, ID 83702-6749

Mailing Address3340 E Goldstone WayMeridian, ID 83642-1026 · (208) 367-5170 · Fax (208) 367-5180

Phone(208) 429-8311

Fax(208) 429-8310

Organization SubpartNo

Authorized OfficialJanelle G. ReillyPresident · (208) 367-6490

Enumeration DateJune 22, 2006

Last NPPES UpdateDecember 24, 2007

✔ NPI 1073559449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

1673 SHORELINE DRIVE, Boise, ID 83702

Open in Google Maps ↗

Other Names 1

Doing Business AsSaint Alphonsus Medical Group Shoreline

Other Identifiers 1

Medicare PIN1374466ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Saint Alphonsus Physician Services Inc's NPI number?

The NPI number for Saint Alphonsus Physician Services Inc is 1073559449. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Saint Alphonsus Medical Group Shoreline.

Where is Saint Alphonsus Physician Services Inc located?

Saint Alphonsus Physician Services Inc is located at 1673 Shoreline Drive Suite 120, Boise, ID 83702. The listed phone number is (208) 429-8311.

What is Saint Alphonsus Physician Services Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Saint Alphonsus Physician Services Inc was last updated on December 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.