St Lukes Regional Medical Center
St Lukes Regional Medical Center is an Emergency Medicine Physician in Mountain Home, Idaho. Licensed in Idaho. Registered with an NPI since 2013.
- Licensed in
- ID
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
895 N 6th EMountain Home, ID 83647-2207
Phone: (208) 587-8401
Fax: (208) 587-8406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 03 (ID) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 03 (ID) |
Record details
| NPI number | 1326388737 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Lukes Regional Medical Center |
| Authorized official | Jeff Taylor — System Vp Cfo · (208) 381-2520 |
| Other names | St Lukes Elmore Medical Center Physician Group |
| NPI enumerated | February 21, 2013 |
| Last updated in NPPES | June 22, 2016 |
| Mailing address | 190 E Bannock St, Boise, ID 83712-6241 |
Other providers in Mountain Home
-
Marilee Kuracina, MD
895 N 6th E St Luke's Elmore, Mountain Home, ID 83647-2207 · (208) 580-2683