ST. LUKE'S CHILDREN'S; NPI #1114301181

Contact Information

ST. LUKE'S CHILDREN'S

190 E BANNOCK ST
BOISE, ID 83712-6241

Phone: 208-381-2804
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for ST. LUKE'S CHILDREN'S

NPI # 1114301181

LBN Legal business name ST. LUKE'S CHILDREN'S

Authorized official KRISTIN BOOTON - (SPEECH LANGUAGE PATHOLOGIST)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 07/19/2015

Last updated 07/19/2015 - About 11 years ago

Identifiers

ID	License #	SLP-2765
	Other	12099045	ASHA
ID	Other	SLP-2765	IDAHO SPEECH AND HEARING ASSOCIATION

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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