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ST LUKES REGIONAL MEDICAL CENTER NPI 1922042506


NPI Information

NPI: 1922042506
Provider Name: ST LUKES REGIONAL MEDICAL CENTER

Doing Business As: ST LUKES INTERNAL MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
300 E JEFFERSON ST
BOISE, ID
ZIP 83712
Phone: (208) 381-4100
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ST LUKES REGIONAL MEDICAL CENTER is an internal medicine in Boise, ID. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ST LUKES REGIONAL MEDICAL CENTER NPI is 1922042506. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Lukes Internal Medicine.

The provider's business location address is:

300 E JEFFERSON ST
BOISE, ID
ZIP 83712-246
Phone: (208) 381-4100
Fax: (208) 381-1665

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

The enumeration date for this NPI number is 6/15/2006 and was last updated on 7/14/2009.


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 MedicineNo
2363L00000XNurse PractitionerNo
3363A00000XPhysician AssistantNo
4207R00000XInternal MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11250906MEDICARE PIN
21250904MEDICARE PIN

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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