SAMG OCC MED ROSTER BILLING
NPI 1144673021
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Boise, ID

Q: What is Saint Alphonsus Regional Medical Center's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Active since July 15, 2016

6533 W EMERALD ST, BOISE, ID 83704(208) 302-7600(208) 302-7605 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 24, 2023, Apr 27, 2018, Jul 15, 2016 (3 updates tracked since 2016).

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About Samg Occ Med Roster Billing NPPES

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

SAMG OCC MED ROSTER BILLING (NPI 1144673021) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Boise, Idaho and active in the NPI registry since July 2016. The organization lists Brian Lannie Checketts, Cfo, as its authorized official.

NPPES Registry Identity

NPI1144673021

Entity TypeOrganization

Primary Taxonomy2083P0500X

Legal Business NameSAINT ALPHONSUS REGIONAL MEDICAL CENTER

Location Address6533 W EMERALD STBoise, ID 83704-8737

Mailing Address6533 W Emerald StBoise, ID 83704-8737 · (208) 302-7600 · Fax (208) 302-7605

Phone(208) 302-7600

Fax(208) 302-7605

Organization SubpartNo

Authorized OfficialBrian Lannie CheckettsCfo · (208) 367-2844

Enumeration DateJuly 15, 2016

Last NPPES UpdateOctober 17, 20243 updates tracked since enumeration

NPPES CertifiedOctober 17, 2024

✔ NPI 1144673021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0500X

License✔ Licensed in ID · M-5535

Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X

6533 W EMERALD ST, Boise, ID 83704

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Other Names 1

Doing Business AsSamg Occ Med Roster Billing

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

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB KAMMER MD

Preventive Medicine (Public Health & General Preventive Medicine)