St Luke'S Humphreys Diabetes Center

LBN: St Lukes Regional Medical Center
St Luke'S Humphreys Diabetes Center is an health care organization with primary practice located at 1226 W River St , Boise ID 83702-7049. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Diabetes Educator. Nursing Service Providers / Diabetes Educator is the primary health care specialty. St Lukes Regional Medical Center can be contacted via phone (208) 331-1155, or through Taylor, Jeff via phone (208) 381-2520.

Contact Information

Primary practice address
1226 W River St Boise ID 83702-7049
Phone: (208) 331-1155
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Jeff
Phone: (208) 381-2520

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 03 Idaho
Nursing Service Providers / Diabetes Educator 163WD0400X 03 Idaho

Profile Details

NPI number 1003295452
LBN Legal business name St Lukes Regional Medical Center
DBA Doing business as St Luke'S Humphreys Diabetes Center
Authorized official Taylor, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2015
Last updated Jun 22nd, 2016 - about 9 years 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 1003295452 NPPES
Idaho MEDICAID 1003295452

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