| St Luke's Clinic - St Luke's Family Health | |
|
3090 E Gentry Way Ste 200 Meridian ID 83642-3501 | |
| (208) 887-6813 | |
| Not Available |
| Full Name | St Luke's Clinic - St Luke's Family Health |
|---|---|
| Speciality | Family Medicine |
| Location | 3090 E Gentry Way, Meridian, Idaho |
| Authorized Official Name and Position | Jeff Taylor (SYSTEM VP CFO) |
| Authorized Official Contact | 2083812520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Luke's Clinic - St Luke's Family Health 2083 E Hospitality Ln Boise ID 83716-6603 Ph: (208) 887-6813 | St Luke's Clinic - St Luke's Family Health 3090 E Gentry Way Ste 200 Meridian ID 83642-3501 Ph: (208) 887-6813 |
| NPI Number | 1306149919 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 12/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306149919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 03 (Idaho) | Primary |
| 363L00000X | Nurse Practitioner | 03 (Idaho) | Secondary |
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