Organization
ST LUKE'S REGIONAL MEDICAL CENTER
Active
Parent organization
ST LUKE'S REGIONAL MEDICAL CENTER
Other names
St Lukes Mountain States Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKE'S REGIONAL MEDICAL CENTER
Authorized official
JEFF TAYLOR (SR VP/CFO)
(208) 381-2520
Entity
Organization
Contact information
Practice address
520 S EAGLE RD, STE 3112, MERIDIAN, ID 83642-6351
(208) 706-5800
Mailing address
PO BOX 640, BOISE, ID 83701-0640
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
03
ID
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
03
ID
2088P0231X
Pediatric Urology Physician
03
ID
Other
Enumeration date
08/29/2006
Last updated
09/30/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us