# ST LUKE'S REGIONAL MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST LUKE'S REGIONAL MEDICAL CENTER
- **Other names:** St Luke's Clinic - St Luke's Family Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306149919
- **Legal business name:** ST LUKE'S REGIONAL MEDICAL CENTER
- **Authorized official:** JEFF TAYLOR (SYSTEM VP CFO)
- **Authorized official phone:** (208) 381-2520

## Contact information

- **Practice address:** 3090 E GENTRY WAY, STE 200, MERIDIAN, ID 83642-3501
- **Practice address phone:** (208) 887-6813
- **Mailing address:** 2083 E HOSPITALITY LN, BOISE, ID 83716-6603
- **Mailing address phone:** (208) 887-6813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 03 | ID | Yes |
| 363L00000X | Nurse Practitioner | 03 | ID | — |

## Other

- **Enumeration date:** 12/21/2010
- **Last updated:** 12/21/2010