NPIMap

Organization Active NPI

St Lukes Regional Medical Center

Doing business as St Lukes Internal Medicine

  • General Acute Care Hospital
  • Boise, ID
National Provider Identifier
1447299342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ST LUKES REGIONAL MEDICAL CENTER
Doing business as
St Lukes Internal Medicine
Practice address
701 E Parkcenter Blvd
Boise, ID 83706-7539
Phone
(208) 381-6400
Fax
(208) 381-6450
NPI assigned
Jun 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carrie Lynne Cowgill
Title
Credentialing Coordinator
Phone
(208) 381-4137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

701 E Parkcenter Blvd
Boise, ID 83706-7539

Mailing address

PO Box 550
Boise, ID 83701-0550
Phone (208) 381-4100

Other names 1

  • ST LUKES INTERNAL MEDICINE Doing business as

National Provider Directory

National Provider Directory

Locations

125 E Idaho St
Ste 102
Boise, ID 83712
Phone (208) 381-7300

300 E Jefferson St
Ste 200
Boise, ID 83712
Phone (208) 345-0715

300 E Jefferson St
Ste 300
Boise, ID 83712
Phone (208) 381-4100

Practitioners & affiliated clinicians

Practitioners 113

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447299342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837010550",
            "telephone_number": "208-381-4100",
            "fax_number": "208-381-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837067539",
            "telephone_number": "208-381-6400",
            "fax_number": "208-381-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COWGILL",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "208-381-4137"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST LUKES INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.