# ST LUKES CLINIC - TREASURE VALLEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. LUKE'S HEALTH SYSTEM
- **Other names:** St Luke's Lifestyles Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861982456
- **Legal business name:** ST. LUKE'S HEALTH SYSTEM
- **Authorized official:** JEFF TAYLOR (SR VP & CFO)
- **Authorized official phone:** (208) 381-2520

## Contact information

- **Practice address:** 5155 S HOWRY LANE, MERIDIAN, ID 83642
- **Practice address phone:** (208) 381-2222
- **Mailing address:** 190 E BANNOCK ST, BOISE, ID 83712-6241
- **Mailing address phone:** (208) 381-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2018
- **Last updated:** 05/18/2018