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Organization

ST LUKES REGIONAL MEDICAL CENTER

Active
Parent organization
ST LUKES REGIONAL MEDICAL CENTER
Other names
St Lukes Saltzer DME South
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST LUKES REGIONAL MEDICAL CENTER
Authorized official
JEFF TAYLOR (SYSTEM VP CFO)
(208) 381-2520
Entity
Organization

Contact information

Practice address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3000
Mailing address
PO BOX 640, BOISE, ID 83701-0640
(208) 381-2222

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
03
ID

Other

Enumeration date
01/14/2013
Last updated
09/30/2016
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