OrganizationActive
St Lukes Regional Medical Center
NPI 1013957471 · Medical Specialty Clinic/Center · Boise, ID
Provider details
- NPI number
- 1013957471
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carrie Cowgill, Credentialing Coordinator(208) 381-4137
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4840 N Cloverdale Rd
Boise, ID 83713-2423
Phone: (208) 706-8000
Fax: (208) 706-8001
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 550
Boise, ID 83701-0550
Other names (DBA / former)
- Doing business as
- St Lukes Internal Medicine
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2007-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.