# ST LUKE'S REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST LUKE'S IDAHO FAMILY PHYSICIANS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184958936
- **Authorized official:** GREG ORR (DIRECTOR, PHYSICIAN SERVICES)
- **Authorized official phone:** (208) 381-4103

## Contact information

- **Practice address:** 130 E BOISE AVE, BOISE, ID 83706-4302
- **Practice address phone:** (208) 345-4066
- **Mailing address:** 130 E BOISE AVE, BOISE, ID 83706-4302
- **Mailing address phone:** (208) 345-4066

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2009
- **Last updated:** 09/28/2009