St Lukes Regional Medical Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

03 Issued in ID

Legal business name

ST LUKES REGIONAL MEDICAL CENTER

Doing business as

St Lukes Saltzer DME Caldwell

Practice address

1818 S 10TH Ave
Caldwell, ID 83605-4803

Phone

(208) 468-5959

NPI assigned

Jan 14, 2013

Last updated

Sep 30, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

ST LUKES 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 1

Addresses

Other names 1

• St Lukes Saltzer DME Caldwell Doing business as

Part of

Ted Thurman FNP

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1417294166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837010640",
            "telephone_number": "208-381-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S 10TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054803",
            "telephone_number": "208-468-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES REGIONAL MEDICAL CENTER",
        "enumeration_date": "2013-01-14",
        "last_updated": "2016-09-30",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Lukes Saltzer DME Caldwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corbett A. Sousa, LMSW
• Southwest District Health
• Southwest District Health
• Southwest District Health
• St Lukes Idaho Cardiology Associates
• St Lukes Regional Medical Center (St Lukes Clinic - Caldwell Urology)
• St Lukes Regional Medical Center (St Lukes Caldwell Urology)
• Aaron Elias St.George, B.S., CADC
• William Tyler Steers, FNP
• Carl William Steinmann, PA

• Durable Medical Equipment & Medical Supplies in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.