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Organization

ST. LUKE'S HEALTH SYSTEM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICKOLE ONEIDA (SITE MANAGER)
(208) 381-7187
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

Taxonomy

Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
D-827
ID

Other

Enumeration date
08/14/2014
Last updated
08/14/2014
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