ST LUKE'S ELKS CHILDREN'S REHABILITATION; NPI #1457751471

Contact Information

ST LUKE'S ELKS CHILDREN'S REHABILITATION

3525 E LOUISE DR
SUITE 255
MERIDIAN, ID 83642-6302

Phone: 208-489-5099
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	283XC2000X

Indicates primary specialty

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NPI Profile & details for ST LUKE'S ELKS CHILDREN'S REHABILITATION

NPI Number 1457751471

LBN Legal business name ST LUKE'S ELKS CHILDREN'S REHABILITATION

Authorized official JOHN WELSH - (ELKS PROVIDER ENROLLMENT SPECIALIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/27/2014

Last updated 08/27/2014 - About 12 years ago

Identifiers

License #

OT-963

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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ST LUKE'S ELKS CHILDREN'S REHABILITATION

Contact Information

Specialty

Children

NPI Profile & details for ST LUKE'S ELKS CHILDREN'S REHABILITATION

Reviews for ST LUKE'S ELKS CHILDREN'S REHABILITATION