Organization Name: | ST LUKES REGIONAL MEDICAL CENTER |
NPI Number: | 1003295452 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFF TAYLOR (SR VICE PRESIDENT AND CFO) |
Mailing Address: | 1226 W River St Boise |
State: | ID US |
Postal Code: | 837027049 |
Phone Number: | 2083311155 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2015 |
NPI Last Update Date: | 08/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 03 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |