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ST LUKES REGIONAL MEDICAL CENTER NPI 1053624759


NPI Information

NPI: 1053624759
Provider Name: ST LUKES REGIONAL MEDICAL CENTER

Doing Business As: ST LUKES CLINIC - CAPITAL CITY FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1520 W STATE ST
STE 100
BOISE, ID
ZIP 83702
Phone: (208) 947-7700
Get Directions

ST LUKES REGIONAL MEDICAL CENTER is a family medicine in Boise, ID. The provider is 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. ST LUKES REGIONAL MEDICAL CENTER NPI is 1053624759. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Lukes Clinic - Capital City Family Medicine.

The provider's business location address is:

1520 W STATE ST
STE 100
BOISE, ID
ZIP 83702-085
Phone: (208) 947-7700

The provider's authorized official is John Kee .
The authorized official title is Vp Physician Services and has the following contact phone number (208) 381-5329.

The enumeration date for this NPI number is 7/22/2010 and was last updated on 7/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine03IDAHONo
2208000000XPediatrics03IDAHONo
3207Q00000XFamily Medicine03IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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