# ST LUKES REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST LUKES MOUNTAIN VIEW MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063660645
- **Authorized official:** SANDY STEVENSON (MANAGER)
- **Authorized official phone:** (208) 375-0862

## Contact information

- **Practice address:** 3301 N SAWGRASS WAY, BOISE, ID 83704-4493
- **Practice address phone:** (208) 375-0862
- **Mailing address:** 3301 N SAWGRASS WAY, BOISE, ID 83704-4493
- **Mailing address phone:** (208) 375-0862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 03 | ID | Yes |

## Other

- **Enumeration date:** 09/08/2008
- **Last updated:** 09/08/2008