NPI 1457751471

St Luke's Elks Children's Rehabilitation

Organisation Children's Rehabilitation Hospital Meridian, ID

Practice location

Address: 3525 E Louise Dr Suite 255, Meridian, ID 83642-6302
Phone: (208) 489-5099
Mailing address: 914 N 18th St, Boise, ID 83702-3317

Authorised official

Name: John Welsh
Title: Elks Provider Enrollment Specialist
Phone: (208) 489-4635

Registered specialties

Children's Rehabilitation Hospital Primary

Hospitals Taxonomy 283XC2000X Licence OT-963 (ID)

Other Rehabilitation Hospital providers in Idaho →

Registry record

NPI: 1457751471
Entity type: Organization
NPI issued: 27 Aug 2014
Record last updated: 27 Aug 2014

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.