Organization · Type 2 NPI

ST Lukes Regional Medical Center

Medical Specialty Clinic/Center · Boise, ID

NPI number 1114117611 Active

Practice location

333 N 1st St, Suite 120
Boise, ID 83702-6100

Call (208) 344-3779 Map

Mailing address

PO Box 550
Boise, ID 83701-0550

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XM4219 (ID)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

29 other providers at this address

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About NPI 1114117611

ST Lukes Regional Medical Center's National Provider Identifier is 1114117611, issued on Jul 31, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Boise, ID. The record was last updated on Apr 9, 2008.