NPI Lens

Saint Alphonsus Specialty Services Inc

NPI 1093040479ActiveOrganization· Surgery, Trauma Surgery· Boise, ID

Surgery, Trauma Surgery in Boise, Idaho, registered in NPPES in October 2009. The authorized official on file is Odette Bolano, President.

Overview

NPI1093040479
StatusActive
Entity typeOrganization
NPI issuedOct 2, 2009
Last updated in NPPESApr 27, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Trauma Surgery Primary2086S0127X——
Internal Medicine, Cardiovascular Disease207RC0000X——
Neurological Surgery207T00000X——
Obstetrics & Gynecology207V00000X——
Obstetrics & Gynecology, Maternal & Fetal Medicine207VM0101X——
Obstetrics & Gynecology, Gynecologic Oncology207VX0201X——
Orthopaedic Surgery, Pediatric Orthopaedic Surgery207XP3100X——
Psychiatry & Neurology, Neurology2084N0400X——
Surgery208600000X——
Surgery, Vascular Surgery2086S0129X——
Thoracic Surgery (Cardiothoracic Vascular Surgery)208G00000X——
Hospitalist208M00000X——
Pain Medicine, Pain Medicine208VP0000X——
Nurse Practitioner, Family363LF0000X——
Clinical Nurse Specialist364S00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Surgery, Trauma Surgery providers in Boise

All Surgery, Trauma Surgery providers in Idaho →