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

St Luke's Regional Medical Center

Organization Family Medicine Physician · NPI 1306149919

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

Licensed in
ID
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

3090 E Gentry Way Ste 200
Meridian, ID 83642-3501 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 887-6813
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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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