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Contact Information

ST LUKE'S REGIONAL MEDICAL CENTER
100 E IDAHO ST
STE 316
BOISE, ID83712-6267
 Phone: 208-381-7310
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ST LUKE'S REGIONAL MEDICAL CENTER

NPI Number 1801197082
LBN Legal business name ST LUKE'S REGIONAL MEDICAL CENTER
Authorized official JEFF TAYLOR - (SYSTEM VP CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/04/2010
Last updated 11/04/2010 - About 16 years ago
Identifiers
ID License # 03
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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