Active NPI
St Luke'S Regional Medical Center
- Radiation Oncology Clinic/Center
- Boise, ID
National Provider Identifier
1124941588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Clinic/Center
- Legal business name
- ST LUKE'S REGIONAL MEDICAL CENTER
- Practice address
- 100 E Idaho St
Boise, ID 83712-6223 - Phone
- (208) 381-2711
- NPI assigned
- Aug 3, 2026
- Organization subpart
- Yes
- Parent organization
- ST LUKES HEALTH SYSTEM LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Paul Reid
- Title
- PFS Administration; Sr. Director
- Phone
- (208) 706-7665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Clinic/Center | 261QX0203X | Primary |
Addresses
Primary practice location
100 E Idaho St
Boise, ID 83712-6223
Mailing address
100 E Idaho St
Boise, ID 83712-6223
Phone (208) 381-2711
Other names 1
- ST LUKES CANCER INSTITUTE - BOISE
National Provider Directory
National Provider Directory- Tax ID family
- Richard H Lane MD
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Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1275133944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1124941588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E IDAHO ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126223",
"telephone_number": "208-381-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E IDAHO ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126223",
"telephone_number": "208-381-2711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LUKE'S REGIONAL MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST LUKES HEALTH SYSTEM LTD",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A",
"authorized_official_last_name": "REID",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PFS ADMINISTRATION; SR. DIRECTOR",
"authorized_official_telephone_number": "208-706-7665"
},
"taxonomies": [
{
"code": "261QX0203X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology, Radiation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ST LUKES CANCER INSTITUTE - BOISE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boise, ID
- St Alphonsus Regional Medical Center
- St Clair Specialty Physicians
- Nicole Gaylene St Germain
- St Luke'S Humphreys Diabetes Center Inc
- St Luke'S Reg Med Ctr Employee Outpt Pharmacy
- St Luke'S Regional Medical Center
- St Luke'S Regional Medical Center
- St Luke'S Regional Medical Center
- St Luke'S Regional Medical Center
- St Luke'S Regional Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.