St Lukes Clinic-Treasure Valley Llc

LBN: St Lukes Clinic-Treasure Valley Llc
St Lukes Clinic-Treasure Valley Llc is an health care organization with primary practice located at 190 E Bannock St , Boise ID 83712-6241. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. St Lukes Clinic-Treasure Valley Llc can be contacted via phone (208) 381-2222, or through Fowler, Kathryn via phone (208) 381-8717.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (208) 381-2222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fowler, Kathryn
Phone: (208) 381-8717

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 03 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 03 Idaho
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 03 Idaho
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 03 Idaho
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 03 Idaho
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 03 Idaho
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 03 Idaho
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 03 Idaho
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 03 Idaho
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 03 Idaho
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 03 Idaho
Allopathic & Osteopathic Physicians / Surgery 208600000X 03 Idaho
Allopathic & Osteopathic Physicians / Urology 208800000X 03 Idaho
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 03 Idaho

Profile Details

NPI number 1326336058
LBN Legal business name St Lukes Clinic-Treasure Valley Llc
DBA Doing business as
Authorized official Fowler, Kathryn
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 15th, 2011
Last updated Feb 29th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326336058 NPPES
Idaho MEDICAID 1326336058

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