National Provider Identifier Database

ST LUKES CLINIC LLC
Rural Health


Contact Information

ST LUKE'S CLINIC, LLC
775 POLE LINE RD W
TWIN FALLS, ID83301-5814
Phone: 208-814-1000
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for ST LUKE'S CLINIC, LLC

NPI Number 1407283443
Legal business name
LBN
ST LUKE'S CLINIC, LLC
Authorized official JEFF TAYLOR - (SR VP/CFO)
Entity Organization
Organization subpart No
Enumeration date 10/05/2013
Last updated 09/29/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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