Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
ST LUKES ELMORE
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF TAYLOR (TREASURER)
(208) 381-2520
Entity
Organization
Contact information
Practice address
895 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-8401
Mailing address
PO BOX 2777, BOISE, ID 83701-2777
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6919
ID
3416L0300X
Land Ambulance
6919
ID
Other
Enumeration date
09/11/2014
Last updated
09/29/2016
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