OrganizationActive
St Lukes Regional Medical Center
NPI 1114117611 · Medical Specialty Clinic/Center · Boise, ID
Provider details
- NPI number
- 1114117611
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- W Oakley, MD(208) 344-3779
- License
- M4219 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
333 N 1st St
Suite 120
Boise, ID 83702-6100
Phone: (208) 344-3779
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 550
Boise, ID 83701-0550
Other names (DBA / former)
- Doing business as
- St Lukes Bariatric Surgery
Registry dates
- Enumerated
- 2007-07-31
- Last updated
- 2008-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.