St Lukes Regional Medical Center in Boise - Developmental - Behavioral Pediatrics

St Lukes Regional Medical Center - NPI 1972627628

St Lukes Regional Medical Center is a Developmental - Behavioral Pediatrics in Boise, Idaho. St Lukes Regional Medical Center practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for St Lukes Regional Medical Center is 1972627628. The last update date is 2020-08-22.

St Lukes Regional Medical Center's current location address is Po Box 550, Boise, Idaho. You can contact this provider via phone number 2083817312. The mailing address for St Lukes Regional Medical Center is Po Box 550, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization St Lukes Regional Medical Center
Address Po Box 550, Boise, Idaho
Phone Number 2083817312
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Hirschfeld Jerry
Telephone Number 2083812818

NPI Number Detail

NPI Number 1972627628
Provider Enumeration Date 2007-03-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 550
City Boise
State Idaho (ID)
Post Code 837010550
Phone Number 2083817312
Fax Number

Provider's Primary Taxonomy Detail

Speciality Developmental - Behavioral Pediatrics
Taxonomy 2080P0006X
Licence No 3
Definition:
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3 ID HOSPITAL STATE LIC #

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FAQs about St Lukes Regional Medical Center

What is the St Lukes Regional Medical Center's 1972627628?

The St Lukes Regional Medical Center's NPI (National Provider Identifier) Number is 1972627628. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of St Lukes Regional Medical Center?

The St Lukes Regional Medical Center is situated at Po Box 550, in the city of Boise, state of ID, with the zip code 837010550.

What is St Lukes Regional Medical Center's area of expertise and its corresponding taxonomy classification?

The St Lukes Regional Medical Center's field of specialization is Developmental - Behavioral Pediatrics, and it falls under the taxonomy code 2080P0006X, which categorizes healthcare providers based on their areas of practice.

On what date did the St Lukes Regional Medical Center receive the assignment of its 1972627628 from the Centers for Medicare & Medicaid Services?

The St Lukes Regional Medical Center was issued its 1972627628 by the Centers for Medicare & Medicaid Services on 2007-03-19.

When was the information regarding St Lukes Regional Medical Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to St Lukes Regional Medical Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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