ST LUKES CLINIC-TREASURE VALLEY LLC NPI 1326336058

NPI Information

NPI: 1326336058
Provider Name: ST LUKES CLINIC-TREASURE VALLEY LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
190 E BANNOCK ST
BOISE, ID
ZIP 83712
Phone: (208) 381-2222
Get Directions

ST LUKES CLINIC-TREASURE VALLEY LLC 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 CLINIC-TREASURE VALLEY LLC NPI is 1326336058. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

190 E BANNOCK ST
BOISE, ID
ZIP 83712-241
Phone: (208) 381-2222

The provider's authorized official is Kathryn Fowler .
The authorized official title is Senior Vp, Cfo and has the following contact phone number (208) 381-8717.

The enumeration date for this NPI number is 7/15/2011 and was last updated on 2/29/2024.

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	208800000X	Urology		03	IDAHO	No
2	208M00000X	Hospitalist		03	IDAHO	No
3	207P00000X	Emergency Medicine		03	IDAHO	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	03	IDAHO	No
5	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	03	IDAHO	No
6	207RH0003X	Internal Medicine	Hematology & Oncology	03	IDAHO	No
7	207R00000X	Internal Medicine		03	IDAHO	No
8	207V00000X	Obstetrics & Gynecology		03	IDAHO	No
9	207W00000X	Ophthalmology		03	IDAHO	No
10	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	03	IDAHO	No
11	208000000X	Pediatrics		03	IDAHO	No
12	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	03	IDAHO	No
13	2084N0400X	Psychiatry & Neurology	Neurology	03	IDAHO	No
14	208600000X	Surgery		03	IDAHO	No
15	207Q00000X	Family Medicine		03	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1326336058	MEDICAID	IDAHO

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

NPI Synchronization or Removal

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