ST LUKES REGIONAL MEDICAL CENTER is a medical specialty clinic center in Meridian, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ST LUKES REGIONAL MEDICAL CENTER NPI is 1316980345. The provider is registered as an organization entity type.
The provider Is Doing Business As St Lukes Internal Medicine.
The provider's business location address is:
520 S EAGLE RD
SUITE 3102
MERIDIAN, ID
ZIP 83642-351
Phone: (208) 706-5100
Fax: (208) 706-5169
The provider's authorized official is Carrie Lynne Cowgill .
The authorized official title is Credentialing Coordinator and has the following contact phone number (208) 381-4137.
The CLIA number assigned to this NPI record is 13D2068325 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/14/2006 and was last updated on 8/22/2020.