Organization Name: | ST LUKES REGIONAL MEDICAL CENTER |
NPI Number: | 1982941639 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFF TAYLOR (SYSTEM VP CFO) |
Mailing Address: | 215 E Hawaii Ave Nampa |
State: | ID US |
Postal Code: | 836866011 |
Phone Number: | 2084633000 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2013 |
NPI Last Update Date: | 01/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 03 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |