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Contact Information

ST LUKES REGIONAL MEDICAL CENTER
1226 W RIVER ST
BOISE, ID83702-7049
 Phone: 208-331-1155
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ST LUKES REGIONAL MEDICAL CENTER

NPI # 1003295452
LBN Legal business name ST LUKES REGIONAL MEDICAL CENTER
Authorized official JEFF TAYLOR - (SR VICE PRESIDENT AND CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2015
Last updated 06/22/2016 - About 10 years ago
Identifiers
ID License # 03
ID Medicaid 1003295452
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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