NPI 1023201084

St Lukes Regional Medical Center

Organisation Medical Specialty Clinic/Center Boise, ID

Practice location

Address: 100 E Idaho St STE 200, Boise, ID 83712-6270
Phone: (208) 381-7340
Mailing address: PO Box 640, Boise, ID 83701-0640

Authorised official

Name: Jeff Taylor
Title: Sr Vp/Cfo
Phone: (208) 381-2520

Registered specialties

Medical Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM2500X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1023201084
Entity type: Organization
NPI issued: 23 Aug 2007
Record last updated: 30 Sep 2016

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.