NPI 1013957471

St Lukes Regional Medical Center

Organisation Medical Specialty Clinic/Center Boise, ID

Practice location

Address: 4840 N Cloverdale Rd, Boise, ID 83713-2423
Phone: (208) 706-8000
Fax: (208) 706-8001
Mailing address: PO Box 550, Boise, ID 83701-0550

Authorised official

Name: Carrie Lynne Cowgill
Title: Credentialing Coordinator
Phone: (208) 381-4137

Registered specialties

Medical Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM2500X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1013957471
Entity type: Organization
NPI issued: 7 Jun 2006
Record last updated: 31 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.