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Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
ST LUKES ELMORE
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF TAYLOR (TREASURER)
(208) 381-2520
Entity
Organization
Contact information
Practice address
895 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-8401
Mailing address
PO BOX 2777, BOISE, ID 83701-2777
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6919
ID
3416L0300X
Land Ambulance
6919
ID
Other
Enumeration date
09/11/2014
Last updated
09/29/2016
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