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ST LUKE'S REGIONAL MEDICAL CENTER NPI 1861423410


NPI Information

NPI: 1861423410
Provider Name: ST LUKE'S REGIONAL MEDICAL CENTER

Other Name: SLRMC PHYSICIAN GROUP

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
190 E BANNOCK ST
BOISE, ID
ZIP 83712
Phone: (208) 381-2222
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ST LUKE'S REGIONAL MEDICAL CENTER is an emergency medicine in Boise, ID. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. ST LUKE'S REGIONAL MEDICAL CENTER NPI is 1861423410. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Slrmc Physician 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 Jane Motes .
The authorized official title is Pfs Director and has the following contact phone number (208) 706-7062.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 12/21/2011.


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
12085R0202XRadiologyDiagnostic Radiology03IDAHONo
2208M00000XHospitalist03IDAHONo
3207RH0003XInternal MedicineHematology & Oncology03IDAHONo
4207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine03IDAHONo
5208000000XPediatrics03IDAHONo
62080N0001XPediatricsNeonatal-Perinatal Medicine03IDAHONo
72085B0100XRadiologyBody Imaging03IDAHONo
8207P00000XEmergency Medicine03IDAHOYes

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
1R143751MEDICARE PINOREGON
21250903MEDICARE PINIDAHO

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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