# ST LUKE'S REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. LUKE'S REGIONAL MEDICAL CENTER
- **Other names:** St Luke's Idaho Endocrinology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801113329
- **Legal business name:** ST. LUKE'S REGIONAL MEDICAL CENTER
- **Authorized official:** JOHN KEE (VP PHYSICIAN SERVICES)
- **Authorized official phone:** (208) 381-5329

## Contact information

- **Practice address:** 403 S 11TH ST, STE 100, BOISE, ID 83702-6969
- **Practice address phone:** (208) 429-0300
- **Mailing address:** 190 E BANNOCK ST, BOISE, ID 83712-6241
- **Mailing address phone:** (208) 429-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 03 | ID | Yes |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 04/23/2010