St Luke's Regional Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

03 Issued in ID

Legal business name

ST LUKE'S REGIONAL MEDICAL CENTER

Doing business as

St Luke's Clinic - St Luke's Family Health

Practice address

3090 E Gentry Way
Ste 200
Meridian, ID 83642-3501

Phone

(208) 887-6813

NPI assigned

Dec 21, 2010

Last updated

Dec 21, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

ST LUKE'S REGIONAL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Jeff Taylor

Title

System VP Cfo

Phone

(208) 381-2520

Specialties & licenses 2

Addresses

Other names 1

• St Luke's Clinic - St Luke's Family Health Doing business as

Part of

St Lukes Regional Med Ctr

Locations

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1306149919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 E HOSPITALITY LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837166603",
            "telephone_number": "208-887-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 E GENTRY WAY",
            "address_2": "STE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423501",
            "telephone_number": "208-887-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKE'S REGIONAL MEDICAL CENTER",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SYSTEM VP CFO",
        "authorized_official_telephone_number": "208-381-2520"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Luke's Clinic - St Luke's Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SSF Psychological Services PLLC
• St Alphonsus Regional Medical Center Inc (St Alphonsus Rehabilitation Services)
• St Luke's Elks Children's Rehabilitation
• St Luke's Elks Childrens Rehabilitation
• St Luke's Meridian Inpt Pharmacy
• St Luke's Regional Medical Center (St Lukes Home Care)
• St Luke's Regional Medical Center (St Luke's Hospice)
• St Luke's Regional Medical Center (St Lukes Mountain States Urology)
• St Luke's Regional Medical Center (St Luke's Boise Orthopedic Clinic)
• St Luke's Regional Medical Center (St Luke's Family Medicine)

• Family Medicine Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.