# ST LUKES REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST LUKES REGIONAL MEDICAL CENTER
- **Other names:** ST LUKES CALDWELL UROLOGY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962731802
- **Legal business name:** ST LUKES REGIONAL MEDICAL CENTER
- **Authorized official:** JOHN KEE (VP, PHYSICIAN SERVICES)
- **Authorized official phone:** (208) 381-5329

## Contact information

- **Practice address:** 1620 S KIMBALL AVE, CALDWELL, ID 83605-4547
- **Practice address phone:** (208) 454-9181
- **Mailing address:** 1620 S KIMBALL AVE, CALDWELL, ID 83605-4547
- **Mailing address phone:** (208) 454-9181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 03 | ID | Yes |

## Other

- **Enumeration date:** 12/23/2009
- **Last updated:** 12/23/2009