# ST LUKES REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Lukes Pediatric Endocrinology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023201084
- **Authorized official:** JEFF TAYLOR (SR VP/CFO)
- **Authorized official phone:** (208) 381-2520

## Contact information

- **Practice address:** 100 E IDAHO ST STE 200, BOISE, ID 83712-6270
- **Practice address phone:** (208) 381-7340
- **Mailing address:** PO BOX 640, BOISE, ID 83701-0640
- **Mailing address phone:** (208) 381-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2007
- **Last updated:** 09/30/2016