Provider Type Icon

ST LUKES REGIONAL MEDICAL CENTER NPI 1124331822


NPI Information

NPI: 1124331822
Provider Name: ST LUKES REGIONAL MEDICAL CENTER

Doing Business As: ST LUKES CLINIC - OB GYN CENTER

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 13D0672233

Address:
100 E IDAHO ST
STE 302
BOISE, ID
ZIP 83712
Phone: (208) 343-7501
Get Directions

ST LUKES REGIONAL MEDICAL CENTER is an obstetrics gynecology in Boise, ID. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ST LUKES REGIONAL MEDICAL CENTER NPI is 1124331822. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Lukes Clinic - Ob Gyn Center.

The provider's business location address is:

100 E IDAHO ST
STE 302
BOISE, ID
ZIP 83712-267
Phone: (208) 343-7501

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 CLIA number assigned to this NPI record is 13D0672233 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

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
1207V00000XObstetrics & Gynecology03IDAHOYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.