NPIMap

Organization Active NPI

St. Luke'S Elks Rehab

  • Rehabilitation Hospital Unit
  • Boise, ID
National Provider Identifier
1265870216
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
ST. LUKE'S ELKS REHAB
Practice address
405 W Myrtle St
Boise, ID 83702-7658
Phone
(208) 489-5880
NPI assigned
Jun 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abby Fry
Title
Site Manager
Phone
(208) 489-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

405 W Myrtle St
Boise, ID 83702-7658

Mailing address

405 W Myrtle St
Boise, ID 83702-7658

National Provider Directory

National Provider Directory
Tax ID family
St Luke'S Elks Childrens Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1265870216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W MYRTLE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W MYRTLE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027658",
            "telephone_number": "208-489-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S ELKS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "SITE MANAGER",
        "authorized_official_telephone_number": "208-489-5880"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.