Organization · Type 2 NPI

ST Luke's Regional Medical Center

Family Medicine Physician · Meridian, ID

NPI number 1306149919 Active

Practice location

3090 E Gentry Way, Ste 200
Meridian, ID 83642-3501

Call (208) 887-6813 Map

Mailing address

2083 E Hospitality Ln
Boise, ID 83716-6603

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	03 (ID)
Nurse Practitioner	363L00000X	03 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

Other family medicine physician providers in Meridian

See all in Meridian →

NPI record

NPI: 1306149919
Entity type: Organization (Type 2)
Issued: Dec 21, 2010
Last updated: Dec 21, 2010
Status: Active
Subpart: Yes of ST Luke's Regional Medical Center

Other names

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ST Luke's Clinic - ST Luke's Family Health · doing business as

Authorized official

Jeff Taylor
System VP CFO
(208) 381-2520

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306149919

ST Luke's Regional Medical Center's National Provider Identifier is 1306149919, issued on Dec 21, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Meridian, ID. The record was last updated on Dec 21, 2010.