ST LUKES REGIONAL MEDICAL CENTER (NPI# 1427395177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427395177 |
| Entity Type | Organization |
| Organization Name | ST LUKES REGIONAL MEDICAL CENTER |
| Other Organization Name | ST LUKES SALTZER DME REHAB S |
| Practice Address |
290 W Georgia Ave Nampa ID 83686-2835 |
| Mailing Address |
Po Box 640 Boise ID 83701-0640 |
| Practice Telephone | 2082884991 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2016-09-30 |
| Authorized Official Name | JEFF TAYLOR (SYSTEM VP CFO) |
| Authorized Official Telephone | 2083812520 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST LUKES REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 03 | ID | Suppliers |
| Other Name | Type Code |
|---|---|
| St Lukes Saltzer DME Rehab S | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639356173 | St Lukes Regional Medical Center | Family Medicine | 11311 W Chinden Blvd, Boise, ID 83714-1021 | 2008-01-28 |
| 1023201084 | St Lukes Regional Medical Center | Clinic/Center | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2007-08-23 |
| 1770586794 | St Lukes Regional Medical Center | Pharmacy | 190 E Bannock St, Boise, ID 83712-6241 | 2005-05-23 |
| 1003295452 | St Lukes Regional Medical Center | Dietitian, Registered | 1226 W River St, Boise, ID 83702-7049 | 2015-05-19 |
| 1093109100 | St Lukes Regional Medical Center | Clinical Medical Laboratory | 3176 S Denver Way, Boise, ID 83705-5289 | 2015-03-26 |
| 1477954204 | St Lukes Regional Medical Center | Ambulance | 895 N 6th E, Mountain Home, ID 83647-2207 | 2014-09-11 |
| 1730505199 | St Lukes Regional Medical Center | Rehabilitation Unit | 600 N Robbins Rd, Boise, ID 83702-4565 | 2014-03-10 |
| 1093131450 | St Lukes Regional Medical Center | Skilled Nursing Facility | 600 N Robbins Rd, Boise, ID 83702-4565 | 2014-03-10 |
| 1326388737 | St Lukes Regional Medical Center | Surgery | 895 N 6th E, Mountain Home, ID 83647-2207 | 2013-02-21 |
| 1710226451 | St Lukes Regional Medical Center | Medicare Defined Swing Bed Unit | 895 N 6th E, Mountain Home, ID 83647-2207 | 2013-01-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST LUKES REGIONAL MEDICAL CENTER SIOUX CITY | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 |
| Street Address |
290 W GEORGIA AVE |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260654 | Daniel D Shaw | Physical Therapist | 290 W Georgia Ave, Nampa, ID 83686-2835 | 2005-10-21 |
| 1700344553 | Christine E Crystal | Physical Therapist | 290 W Georgia Ave, Nampa, ID 83686-2835 | 2019-03-11 |
| 1124451356 | Janine Cornelia Ropp | Physical Therapist | 290 W Georgia Ave, Nampa, ID 83686-2835 | 2013-08-12 |
| 1194033514 | Rosemary Camille Howell | Physical Therapist | 290 W Georgia Ave, Nampa, ID 83686-2835 | 2010-09-20 |
| 1831386762 | Deanna C Kinsman | Physical Therapist | 290 W Georgia Ave, Nampa, ID 83686-2835 | 2007-09-25 |
| 1538201462 | Saltzer Medical Group Pa | Durable Medical Equipment & Medical Supplies | 290 W Georgia Ave, Nampa, ID 83686-2835 | 2007-02-14 |
| 1649243015 | Daranee Berg | Physical Therapist | 290 W Georgia Ave, Nampa, ID 83686-2835 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962712 | Rick Jay Williams | Durable Medical Equipment & Medical Supplies | 4723 Airport Rd, Nampa, ID 83687-9569 | 2019-09-24 |
| 1215589734 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 210 W Georgia Ave Ste 100, Nampa, ID 83686-5688 | 2019-07-15 |
| 1013335454 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 175 N Middleton Rd, Nampa, ID 83651-7538 | 2014-04-02 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| 1811122765 | Eyemart Express, Ltd | Durable Medical Equipment & Medical Supplies | 16449 N Midland Blvd, Nampa, ID 83687 | 2009-05-21 |
| 1356589469 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 932 Caldwell Blvd, Nampa, ID 83651-1711 | 2009-01-27 |
| 1699943332 | Idaho Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 210 W Georgia, Nampa, ID 83686 | 2008-02-15 |
| 1386839678 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2219 12th Ave Rd, Nampa, ID 83686-6313 | 2007-09-10 |
| 1134323306 | Peace of Mind Medical Supply Co LLC | Durable Medical Equipment & Medical Supplies | 7112 E Canterbury Ln, Nampa, ID 83687-9432 | 2007-06-12 |
| 1477695617 | Saltzer Medical Group Pa | Durable Medical Equipment & Medical Supplies | 210 W Georgia Avenue, Nampa, ID 83686 | 2007-02-13 |
| Find all providers in NAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.