| St Luke's Jerome Family Medicine | |
|
775 Pole Line Rd W Twin Falls ID 83301-5814 | |
| (208) 814-1000 | |
| Not Available |
| Full Name | St Luke's Jerome Family Medicine |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 775 Pole Line Rd W, Twin Falls, Idaho |
| Authorized Official Name and Position | Jeff Taylor (SR 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 Jerome Family Medicine Po Box 640 Boise ID 83701-0640 Ph: (208) 706-5000 | St Luke's Jerome Family Medicine 775 Pole Line Rd W Twin Falls ID 83301-5814 Ph: (208) 814-1000 |
| NPI Number | 1407283443 |
|---|---|
| Provider Enumeration Date | 10/05/2013 |
| Last Update Date | 09/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407283443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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