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ST LUKES REGIONAL MEDICAL CENTER NPI 1952604563


NPI Information

NPI: 1952604563
Provider Name: ST LUKES REGIONAL MEDICAL CENTER

Doing Business As: ST LUKES CLINIC - CALDWELL UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization
Address:
1620 S KIMBALL AVE
CALDWELL, ID
ZIP 83605
Phone: (208) 454-9181
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ST LUKES REGIONAL MEDICAL CENTER is an urology in Caldwell, ID. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ST LUKES REGIONAL MEDICAL CENTER NPI is 1952604563. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Lukes Clinic - Caldwell Urology.

The provider's business location address is:

1620 S KIMBALL AVE
CALDWELL, ID
ZIP 83605-547
Phone: (208) 454-9181

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 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
1208800000XUrology03IDAHOYes

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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