Organization
ST. LUKES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN R MCBRIDE (REGISTERED NURSE)
(949) 701-7104
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
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
12/06/2025
Last updated
12/06/2025
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