Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
LIFELINE
Organization subpart
No
Provider details
NPI number
Authorized official
JANE MOTES (DIRECTOR)
(208) 381-2222
Entity
Organization
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
03
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03
STATE LICENSE
ID
Enumeration date
03/05/2007
Last updated
10/24/2007
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