Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Luke's Regional Medical Center

Organization Family Medicine Physician · NPI 1184958936

St Luke's Regional Medical Center provides Family Medicine Physician services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2009.

Licensed in
ID
In the registry since
2009

Practice location Address checks out

130 E Boise Ave
Boise, ID 83706-4302 Not confirmed with CMS for 17 years — call before visiting
Phone: (208) 345-4066
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)

Record details

NPI number1184958936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Orr — Director, Physician Services · (208) 381-4103
Other names St Luke'S Idaho Family Physicians
NPI enumeratedSeptember 28, 2009
Last updated in NPPESSeptember 28, 2009
Mailing address130 E Boise Ave, Boise, ID 83706-4302

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