OrganizationActive
St. Luke'S Children'S
NPI 1114301181 · Children's Hospital · Boise, ID
Provider details
- NPI number
- 1114301181
- Entity type
- Organization
- Primary specialty
- Children's HospitalHospitals
- Parent organization
- St. Luke'S
- Organization subpart
- Yes
- Authorized official
- Kristin Booton, Speech Language Pathologist(502) 693-0329
- License
- SLP-2765 (ID)
Specialties & taxonomies
Hospitals
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2804
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2015-07-19
- Last updated
- 2015-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.