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ST LUKE'S REGIONAL MEDICAL CENTER NPI 1306149919


NPI Information

NPI: 1306149919
Provider Name: ST LUKE'S REGIONAL MEDICAL CENTER

Doing Business As: ST LUKE'S CLINIC - ST LUKE'S FAMILY HEALTH

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 13D0946891

Address:
3090 E GENTRY WAY
STE 200
MERIDIAN, ID
ZIP 83642
Phone: (208) 887-6813
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ST LUKE'S REGIONAL MEDICAL CENTER is a family medicine in Meridian, 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 LUKE'S REGIONAL MEDICAL CENTER NPI is 1306149919. 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 - St Luke's Family Health.

The provider's business location address is:

3090 E GENTRY WAY
STE 200
MERIDIAN, ID
ZIP 83642-501
Phone: (208) 887-6813

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 CLIA number assigned to this NPI record is 13D0946891 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/21/2010 and was last updated on 12/21/2010.


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
1363L00000XNurse Practitioner03IDAHONo
2207Q00000XFamily Medicine03IDAHOYes

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: 11/14/2023

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