ST LUKE'S REGIONAL MEDICAL CENTER (NPI# 1548365919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548365919 |
| Entity Type | Organization |
| Organization Name | ST LUKE'S REGIONAL MEDICAL CENTER |
| Other Organization Name | ST LUKE'S HOSPICE |
| Practice Address |
3330 E Louise Dr Ste 400 Meridian ID 83642-5123 |
| Mailing Address |
Po Box 2777 Boise ID 83701-2777 |
| Practice Telephone | 2083812222 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2019-12-03 |
| Authorized Official Name | JEFF TAYLOR (SYSTEM VP CFO) |
| Authorized Official Telephone | 2083812520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 03 | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | HOSPITAL LICENSE # | 03 | 01 |
| Other Name | Type Code |
|---|---|
| ST LUKE'S HOSPICE | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 190 E Bannock St, Boise, ID 837126241 | 2083812222 | |
| 3330 E Louise Dr Ste 400, Meridian, ID 836425123 | 2083812222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316243330 | St Luke's Regional Medical Center | Psychologist | 100 E Idaho St, Ste 200, Boise, ID 83712-6267 | 2011-02-09 |
| 1306149919 | St Luke's Regional Medical Center | Nurse Practitioner | 3090 E Gentry Way, Ste 200, Meridian, ID 83642-3501 | 2010-12-21 |
| 1205137379 | St Luke's Regional Medical Center | Internal Medicine | 600 W Robbins Rd, Ste 401, Boise, ID 83702-4565 | 2010-11-05 |
| 1801197082 | St Luke's Regional Medical Center | Pediatrics | 100 E Idaho St, Ste 316, Boise, ID 83712-6267 | 2010-11-04 |
| 1386963205 | St Luke's Regional Medical Center | Obstetrics & Gynecology | 100 E Idaho St, Suite 400, Boise, ID 83712-6267 | 2010-05-18 |
| 1659699841 | St Luke's Regional Medical Center | Surgery | 333 N 1st St, Ste 280, Boise, ID 83702-6100 | 2010-05-12 |
| 1801113329 | St Luke's Regional Medical Center | Internal Medicine | 403 S 11th St, Ste 100, Boise, ID 83702-6969 | 2010-04-23 |
| 1821314584 | St Luke's Regional Medical Center | Orthopaedic Surgery | 520 S Eagle Rd, Suite 3213, Meridian, ID 83642-6351 | 2010-04-20 |
| 1184958936 | St Luke's Regional Medical Center | Family Medicine | 130 E Boise Ave, Boise, ID 83706-4302 | 2009-09-28 |
| 1962606376 | St Luke's Regional Medical Center | Family Medicine | 520 S Eagle Rd, Suite 3201, Meridian, ID 83642-6308 | 2007-06-12 |
| Street Address |
3330 E LOUISE DR STE 400 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857057 | Makaila Dawn Johnson | Physical Therapist | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2020-10-06 |
| 1699384636 | Cassidy Joy Galimanis | Social Worker | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2020-07-27 |
| 1669034823 | Kendrick Justin King Gunning | Physical Therapy Assistant | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2019-07-08 |
| 1083183347 | Marilyn Minnie Canales | Nurse Practitioner | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2018-11-15 |
| 1306945985 | St Luke's Regional Medical Center | Home Health | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2006-09-21 |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871946483 | Doctor's Hospice of Idaho LLC | Hospice Care, Community Based | 1552 N Crestmont Dr Ste B, Meridian, ID 83642-2193 | 2016-07-19 |
| 1013317064 | Complete Hospice Care of Boise LLC | Hospice Care, Community Based | 1940 S Bonito Way Ste 140, Meridian, ID 83642-2625 | 2014-08-27 |
| 1144599671 | St. Anthony's Hospice, LLC | Hospice Care, Community Based | 2127 West 24th Avenue, Meridian, MS 39301-3916 | 2011-12-29 |
| 1902192768 | Hospice Advantage, LLC. | Hospice Care, Community Based | 1300 14th St, Suite D, Meridian, MS 39301-4317 | 2011-06-21 |
| 1689996357 | Teton Healthcare, Inc. | Hospice Care, Community Based | 63 W Willowbrook Dr, Meridian, ID 83646-1656 | 2010-02-23 |
| 1700112885 | Peoplefirst Homecare & Hospice of Utah, LLC | Hospice Care, Community Based | 3090 E Gentry Way Ste 150, Meridian, ID 83642-3597 | 2009-10-26 |
| 1174859227 | Align Hospice LLC | Hospice Care, Community Based | 2512 N Stokesberry Pl Ste 101, Meridian, ID 83646-1144 | 2009-10-25 |
| 1770658676 | Western Healthcare Services of Idaho, Inc. | Hospice Care, Community Based | 2950 E Magic View Dr., Suite 192, Meridian, ID 83642 | 2006-11-24 |
| 1942395645 | Harper's Hospice Care, Inc. | Hospice Care, Community Based | 1703 24th Ave, Meridian, MS 39301-3114 | 2006-10-04 |
| 1629177118 | Community Outreach Counseling | Hospice Care, Community Based | 1406 N Main St, Ste 103, Meridian, ID 83642-1795 | 2006-09-21 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on ST LUKE'S 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.