ST LUKE'S REGIONAL MEDICAL CENTER NPI 1316243330

NPI Information

NPI: 1316243330
Provider Name: ST LUKE'S REGIONAL MEDICAL CENTER

Doing Business As: ST LUKE'S CHILDRENS - NEUROLOGY

Classification: Pediatrics - 2080P0008X
Entity Type: Organization

Specialization: Neurodevelopmental Disabilities

Address:
100 E IDAHO ST
STE 200
BOISE, ID
ZIP 83712
Phone: (208) 381-5000
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ST LUKE'S REGIONAL MEDICAL CENTER is a neurodevelopmental disabilities pediatrics in Boise, ID. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. ST LUKE'S REGIONAL MEDICAL CENTER NPI is 1316243330. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Luke's Childrens - Neurology.

The provider's business location address is:

100 E IDAHO ST
STE 200
BOISE, ID
ZIP 83712-267
Phone: (208) 381-5000
Fax: (208) 381-5005

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 2/9/2011 and was last updated on 2/9/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC2200X	Psychologist	Clinical Child & Adolescent	03	IDAHO	No
2	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	03	IDAHO	Yes

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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