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ST LUKE'S REGIONAL MEDICAL CENTER NPI 1386963205


NPI Information

NPI: 1386963205
Provider Name: ST LUKE'S REGIONAL MEDICAL CENTER

Doing Business As: ST LUKE'S WOMAN'S CLINIC

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

CLIA Number: 13D0521612

Address:
100 E IDAHO ST
SUITE 400
BOISE, ID
ZIP 83712
Phone: (208) 345-5250
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ST LUKE'S 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 LUKE'S REGIONAL MEDICAL CENTER NPI is 1386963205. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Luke's Woman's Clinic.

The provider's business location address is:

100 E IDAHO ST
SUITE 400
BOISE, ID
ZIP 83712-267
Phone: (208) 345-5250

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 13D0521612 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/18/2010 and was last updated on 5/18/2010.


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

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