SAINT ALPHONSUS SPECIALTY SERVICES INC
NPI 1093040479
Surgery - Trauma Surgery in Boise, ID
NPI Status: Active since October 02, 2009
Contact Information
6140 W CURTISIAN AVE
STE 200
BOISE, ID
ZIP 83704
Phone: (208) 367-4278
- Organization
- Surgery
- Trauma Surgery
- CLIA Number: 13D0521737
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-30-2025
About SAINT ALPHONSUS SPECIALTY SERVICES INC
This page provides the complete NPI Profile along with additional information for Saint Alphonsus Specialty Services Inc, a provider established in Boise, Idaho operating as a Surgery, focusing in trauma surgery . The healthcare provider is registered in the NPI registry with number 1093040479 assigned on October 2009. The practitioner's primary taxonomy code is 2086S0127X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Saint Alphonsus Specialty Services Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Odette Bolano (President)
- NPI
- 1093040479
- Provider Name
- SAINT ALPHONSUS SPECIALTY SERVICES INC
- Entity Type
- Organization
- Location Address
- 6140 W CURTISIAN AVE STE 200 BOISE, ID 83704
- Location Phone
- (208) 367-4278
- Mailing Address
- 1070 N CURTIS RD STE 250 BOISE, ID 83706
- Mailing Phone
- (208) 367-4593
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-02-2009
- Last Update Date
- 04-27-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Trauma Surgery
- Taxonomy Code
- 2086S0127X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | |
| 3 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 4 | 207VM0101X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 5 | 207VX0201X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 6 | 207XP3100X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 7 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 8 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 9 | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery | |
| 10 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 11 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | |
| 12 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 13 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 14 | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D0521737
- Facility Type
- Physician Office
- Certificate Effective Date
- October 31, 2023
- Certificate Expiration Date
- October 30, 2025
- Laboratory Director
- SHAE JOHNSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Saint Alphonsus Specialty Services Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093040479, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BOISE, ID 83704
BOISE, ID 83704
BOISE, ID 83704
BOISE, ID 83704
BOISE, ID 83704
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093040479, enumerated as an "organization" on October 02, 2009.
The provider is located at 6140 W CURTISIAN AVE STE 200 BOISE, ID 83704 and the phone number is (208) 367-4278.
Surgery with taxonomy code 2086S0127X and a focus in Trauma Surgery.
