ST LUKES REGIONAL MEDICAL CENTER (NPI# 1447597133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447597133 |
| Entity Type | Organization |
| Organization Name | ST LUKES REGIONAL MEDICAL CENTER |
| Other Organization Name | ST LUKES SALTZER DME PORTICO |
| Practice Address |
3277 E Louise Dr Ste 200 Meridian ID 83642-9359 |
| Mailing Address |
Po Box 640 Boise ID 83701-0640 |
| Practice Telephone | 2088842920 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2013-01-15 |
| 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 Portico | 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 |
3277 E LOUISE DR STE 200 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-9359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447240437 | Katie E Copeland | Pediatrics | 3277 E Louise Dr, Suite 200, Meridian, ID 83642-9351 | 2005-10-21 |
| 1417338138 | Anastasia Beiting | Physical Therapist | 3277 E Louise Dr, Meridian, ID 83642-9359 | 2015-06-18 |
| 1487035317 | Jacob Westrup | Physical Therapist | 3277 E Louise Dr, Meridian, ID 83642-9359 | 2015-06-16 |
| 1528472230 | Sarah Pedersen | Physical Therapist | 3277 E Louise Dr, Suite 410, Meridian, ID 83642-9359 | 2014-06-20 |
| 1396160909 | Kelly R. Olson | Physical Therapist | 3277 E Louise Dr, Suite 410, Meridian, ID 83642-9359 | 2014-02-19 |
| 1174947782 | Kaley Kosak | Physical Therapist | 3277 E Louise Dr, Suite 410, Meridian, ID 83642-9359 | 2014-02-18 |
| 1851728133 | Kathryn Lea Powell | Physician Assistant | 3277 E Louise Dr, Suite 410, Meridian, ID 83642-9359 | 2013-10-02 |
| 1770824047 | Lisa L Morrison | Physical Therapist | 3277 E Louise Dr, Suite 350, Meridian, ID 83642-9359 | 2013-03-11 |
| 1790058618 | Taya D Gill | Physician Assistant | 3277 E Louise Dr, Suite 200, Meridian, ID 83642-9359 | 2012-02-23 |
| 1609054659 | Svetlana Meier | Internal Medicine | 3277 E Louise Dr, Suite 350, Meridian, ID 83642-9359 | 2008-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1801387634 | Stallones Mobility LLC | Durable Medical Equipment & Medical Supplies | 943 W Overland Rd, Meridian, ID 83642-6541 | 2018-05-29 |
| 1265982920 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 3250 S Eagle Rd, Meridian, ID 83642-7018 | 2016-10-06 |
| 1538587290 | Health1logistics | Durable Medical Equipment & Medical Supplies | 2949 E Copper Point Dr, Suite 125, Meridian, ID 83642-5016 | 2014-03-31 |
| 1821339136 | Mommy's Own | Durable Medical Equipment & Medical Supplies | 1107 E Pisa St, Meridian, ID 83642-7888 | 2013-03-12 |
| 1316287998 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 715 Bonita Dr, Meridian, MS 39301-4603 | 2013-02-19 |
| 1720327265 | Redtail Supply Corporation Dba Amramp | Durable Medical Equipment & Medical Supplies | 2375 S Cobalt Point Way Ste 102, Meridian, ID 83642-8029 | 2013-02-04 |
| 1780958421 | Medselect LLC | Durable Medical Equipment & Medical Supplies | 721 Front Street Ext Ste 732, Meridian, MS 39301-4586 | 2012-02-27 |
| 1497022420 | Great Western Distribution of Idaho, LLC | Durable Medical Equipment & Medical Supplies | 480 E Franklin Rd, Suite 108, Meridian, ID 83642-2919 | 2011-11-18 |
| 1215231311 | Prairie Enterprises LLC | Durable Medical Equipment & Medical Supplies | 3332 N Boulder Creek Ave, Meridian, ID 83646-5553 | 2011-01-04 |
| 1811205842 | Royal Innovations,llc | Durable Medical Equipment & Medical Supplies | 3796 E Presidential Dr, Meridian, ID 83642-6035 | 2010-09-24 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on ST LUKES REGIONAL MEDICAL CENTER.
| 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.