St Luke'S Clinic Llc in Twin Falls - Internal Medicine
St Luke'S Clinic Llc - NPI 1790718229
St Luke'S Clinic Llc is a Internal Medicine in Twin Falls, Idaho. St Luke'S Clinic Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for St Luke'S Clinic Llc is 1790718229. The last update date is 2022-12-08.
St Luke'S Clinic Llc's current location address is 775 Pole Line Rd W, Twin Falls, Idaho. You can contact this provider via phone number 2088141000. The mailing address for St Luke'S Clinic Llc is 775 Pole Line Rd W, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Luke'S Clinic Llc |
|---|---|
| Address | 775 Pole Line Rd W, Twin Falls, Idaho |
| Phone Number | 2088141000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR VP, |
|---|---|
| Authorized Official Name | Fowler Kathryn |
| Telephone Number | 2083818717 |
NPI Number Detail
| NPI Number | 1790718229 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2022-12-08 |
Provider Mailing Address Detail
| Address | 775 Pole Line Rd W |
|---|---|
| City | Twin Falls |
| State | Idaho (ID) |
| Post Code | 833015814 |
| Phone Number | 2088141000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806593000 | ID | -- | |
| 1257846 | ID | MEDICARE - CLINIC | |
| 133992 | ID | MEDICARE - RHC | |
| DA1879 | ID | RR MEDICARE |
Post Comment/ Review Below
What is the St Luke'S Clinic Llc's 1790718229?
The St Luke'S Clinic Llc's NPI (National Provider Identifier) Number is 1790718229. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where St Luke'S Clinic Llc is geographically located?
The St Luke'S Clinic Llc is physically situated at the following location: 775 Pole Line Rd W, Twin Falls, ID, 833015814.
What is the St Luke'S Clinic Llc's specialty and taxonomy code?
The St Luke'S Clinic Llc's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790718229 to St Luke'S Clinic Llc?
The Centers for Medicare & Medicaid Services originally issued the 1790718229 to St Luke'S Clinic Llc on 2006-07-08.
When was the information related to St Luke'S Clinic Llc most recently updated or refreshed?
The details pertaining to the St Luke'S Clinic Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-12-08.