Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Luke's Regional Medical Center

Organization Family Medicine Physician · NPI 1306149919

St Luke's Regional Medical Center is a Family Medicine Physician in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
Specialties on file
2

Practice location Address checks out

3090 E Gentry Way Ste 200
Meridian, ID 83642-3501
Phone: (208) 887-6813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 03 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence 03 (ID)

Record details

NPI number1306149919
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Luke's Regional Medical Center
Authorized official Jeff Taylor — System Vp Cfo · (208) 381-2520
Other names St Luke'S Clinic - St Luke'S Family Health
NPI enumeratedDecember 21, 2010
Last updated in NPPESDecember 21, 2010
Mailing address2083 E Hospitality Ln, Boise, ID 83716-6603

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