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ST LUKE'S REGIONAL MEDICAL CENTER NPI 1184958936


NPI Information

NPI: 1184958936
Provider Name: ST LUKE'S REGIONAL MEDICAL CENTER

Doing Business As: ST LUKE'S IDAHO FAMILY PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 13D2298333

Address:
130 E BOISE AVE
BOISE, ID
ZIP 83706
Phone: (208) 345-4066
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ST LUKE'S 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 LUKE'S REGIONAL MEDICAL CENTER NPI is 1184958936. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Luke's Idaho Family Physicians.

The provider's business location address is:

130 E BOISE AVE
BOISE, ID
ZIP 83706-302
Phone: (208) 345-4066

The provider's authorized official is Greg Orr .
The authorized official title is Director, Physician Services and has the following contact phone number (208) 381-4103.

The CLIA number assigned to this NPI record is 13D2298333 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2009 and was last updated on 9/28/2009.


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
1207Q00000XFamily 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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