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ST LUKES CLINIC - TREASURE VALLEY LLC NPI 1861982456


NPI Information

NPI: 1861982456
Provider Name: ST LUKES CLINIC - TREASURE VALLEY LLC

Doing Business As: ST LUKE'S LIFESTYLES MEDICINE

Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
5155 S HOWRY LANE
MERIDIAN, ID
ZIP 83642
Phone: (208) 381-2222
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ST LUKES CLINIC - TREASURE VALLEY LLC is a public health and general preventive medicine preventive medicine in Meridian, ID. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. ST LUKES CLINIC - TREASURE VALLEY LLC NPI is 1861982456. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Luke's Lifestyles Medicine.

The provider's business location address is:

5155 S HOWRY LANE
MERIDIAN, ID
ZIP 83642
Phone: (208) 381-2222

The provider's authorized official is Jeff Taylor .
The authorized official title is Sr Vp & Cfo and has the following contact phone number (208) 381-2520.

The enumeration date for this NPI number is 5/18/2018 and was last updated on 5/18/2018.


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
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

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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