Organization
ST LUKES CLINIC-TREASURE VALLEY LLC
Active
Parent organization
ST LUKES REGIONAL MEDICAL CENTER LTD
Other names
St Lukes RHC - EOMA, St Lukes Clinic - EOMA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES REGIONAL MEDICAL CENTER LTD
Authorized official
KATHRYN FOWLER (SENIOR VP, CFO)
(208) 381-8717
Entity
Organization
Contact information
Practice address
3950 17TH ST STE A, BAKER CITY, OR 97814-1300
(541) 523-1001
Mailing address
PO BOX 640, BOISE, ID 83701-0640
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
03
ID
207V00000X
Obstetrics & Gynecology Physician
03
ID
261QR1300X
Rural Health Clinic/Center
Primary
03
ID
363LF0000X
Family Nurse Practitioner
03
ID
Other
Enumeration date
12/08/2010
Last updated
04/23/2026
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