Organization
ST LUKE'S CLINIC, LLC
Active
Organization
ST LUKE'S CLINIC, LLC
Active
Other names
ST LUKE'S JEROME FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF TAYLOR (SR VP/CFO)
(208) 381-2520
Entity
Organization
Contact information
Practice address
775 POLE LINE RD W, TWIN FALLS, ID 83301-5814
(208) 814-1000
Mailing address
PO BOX 640, BOISE, ID 83701-0640
(208) 706-5000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2013
Last updated
09/29/2016
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