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Contact Information

SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC
3123 MEDICAL DR STE A
CALDWELL, ID83605-6972
 Phone: 208-455-2033
 Fax: 208-367-4817
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Therapy Radiologic Technologist

2471R0002X
Indicates primary specialty

NPI Profile & details for SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC

NPI Number 1053522961
LBN Legal business name SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC
Authorized official SHELLY GORMAN - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2007
Last updated 03/16/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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