ST LUKE'S ELKS CHILDRENS REHABILITATION NPI 1942616073

NPI Information

NPI: 1942616073
Provider Name: ST LUKE'S ELKS CHILDRENS REHABILITATION
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
3525 E LOUISE DR
SUITE 255
MERIDIAN, ID
ZIP 83642
Phone: (208) 489-5099
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ST LUKE'S ELKS CHILDRENS REHABILITATION is a rehabilitation clinic center in Meridian, ID. ST LUKE'S ELKS CHILDRENS REHABILITATION NPI is 1942616073. The provider is registered as an organization entity type.

The provider's business location address is:

3525 E LOUISE DR
SUITE 255
MERIDIAN, ID
ZIP 83642-302
Phone: (208) 489-5099

The provider's authorized official is Kavita Patil .
The authorized official title is Meridian Site Manager and has the following contact phone number (208) 489-5099.

The enumeration date for this NPI number is 7/9/2014 and was last updated on 7/9/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	OT-963	IDAHO	Yes

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

NPI Synchronization or Removal

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