1790718229 ST LUKE'S CLINIC LLC
Family Medicine Physician
Active
Basic Information
- Organization Name
- ST LUKE'S CLINIC LLC
- Enumeration Date
- July 8, 2006
- Last Update
- December 8, 2022
- Authorized Official
- KATHRYN FOWLER
SENIOR VP, CFO
Phone: (208) 381-8717
Practice Location
- Address
- 775 POLE LINE RD W
TWIN FALLS, ID 833015814 - Phone
- (208) 814-1000
Mailing Address
- Address
- PO BOX 640
BOISE, ID 837010640 - Phone
- (208) 706-5000
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Internal Medicine | N/A | N/A | No |
| Cardiovascular Disease Physician Cardiovascular Disease | 207RC0000X | Internal Medicine | N/A | N/A | No |
| Nephrology Physician Nephrology | 207RN0300X | Internal Medicine | N/A | N/A | No |
| Pediatrics Physician | 208000000X | Pediatrics | N/A | N/A | No |
| Occupational Medicine Physician Occupational Medicine | 2083X0100X | Preventive Medicine | N/A | N/A | No |
| Surgery Physician | 208600000X | Surgery | N/A | N/A | No |
| Rural Health Clinic/Center Rural Health | 261QR1300X | Clinic/Center | N/A | N/A | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806593000 | 05 | ID | N/A |
| 1257846 | 01 | ID | MEDICARE - CLINIC |
| 133992 | 01 | ID | MEDICARE - RHC |
| DA1879 | 01 | ID | RR MEDICARE |
Additional Practice Locations
132 5th Ave W Ste 1/2
Jerome, ID 833381825
Jerome, ID 833381825
Phone: (208) 814-9800
Frequently Asked Questions
What is ST LUKE'S CLINIC LLC's NPI number?
ST LUKE'S CLINIC LLC's NPI number is 1790718229.
Which doctor has NPI number 1790718229?
The doctor with NPI number 1790718229 is ST LUKE'S CLINIC LLC.
What is ST LUKE'S CLINIC LLC's practice address?
ST LUKE'S CLINIC LLC's practice address is 775 POLE LINE RD W, TWIN FALLS, ID, 833015814.
Which doctor practices at 775 POLE LINE RD W, TWIN FALLS, ID, 833015814?
ST LUKE'S CLINIC LLC practices at 775 POLE LINE RD W, TWIN FALLS, ID, 833015814.
What is ST LUKE'S CLINIC LLC's mailing address?
ST LUKE'S CLINIC LLC's mailing address is PO BOX 640, BOISE, ID, 837010640.
What is ST LUKE'S CLINIC LLC's phone number?
ST LUKE'S CLINIC LLC's phone number is (208) 814-1000.
Who is (208) 814-1000?
(208) 814-1000 is the phone number for ST LUKE'S CLINIC LLC.
What is ST LUKE'S CLINIC LLC's specialty?
ST LUKE'S CLINIC LLC's specialty is Family Medicine Physician.
What type of doctor is ST LUKE'S CLINIC LLC?
ST LUKE'S CLINIC LLC is a Family Medicine Physician.
Is ST LUKE'S CLINIC LLC a Family Medicine?
Yes, ST LUKE'S CLINIC LLC is a Family Medicine.
Is ST LUKE'S CLINIC LLC still practicing?
Yes, ST LUKE'S CLINIC LLC is currently practicing.
Is ST LUKE'S CLINIC LLC accepting new patients?
ST LUKE'S CLINIC LLC may be accepting new patients. Please call their office at (208) 814-1000 to inquire about availability.
Is NPI 1790718229 still active?
Yes, NPI 1790718229 is currently active.
Where does ST LUKE'S CLINIC LLC practice?
ST LUKE'S CLINIC LLC practices in TWIN FALLS, ID.