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ST LUKE'S REGIONAL MEDICAL CENTER NPI 1205137379


NPI Information

NPI: 1205137379
Provider Name: ST LUKE'S REGIONAL MEDICAL CENTER

Doing Business As: ST LUKE'S CLINIC - INTERMOUNTAIN ORTHOPAEDICS

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
600 W ROBBINS RD
STE 401
BOISE, ID
ZIP 83702
Phone: (208) 383-0201
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ST LUKE'S REGIONAL MEDICAL CENTER is an orthopaedic surgery in Boise, ID. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ST LUKE'S REGIONAL MEDICAL CENTER NPI is 1205137379. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Luke's Clinic - Intermountain Orthopaedics.

The provider's business location address is:

600 W ROBBINS RD
STE 401
BOISE, ID
ZIP 83702-565
Phone: (208) 383-0201

The provider's authorized official is Jeff Taylor .
The authorized official title is System Vp Cfo and has the following contact phone number (208) 381-2520.

The enumeration date for this NPI number is 11/5/2010 and was last updated on 11/5/2010.


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
1207RR0500XInternal MedicineRheumatology03IDAHONo
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic Surgery03IDAHONo
3207X00000XOrthopaedic Surgery03IDAHOYes

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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