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

St Lukes Regional Medical Center

Organization Family Medicine Physician · NPI 1639356173

St Lukes Regional Medical Center provides Family Medicine Physician services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
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Practice location Address checks out

11311 W Chinden Blvd
Boise, ID 83714-1021 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 381-4120
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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)

Record details

NPI number1639356173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanna Richter — Manager · (208) 381-4120
Other names St Lukes Medical Clinic @ Hp
NPI enumeratedJanuary 28, 2008
Last updated in NPPESJanuary 28, 2008
Mailing addressPo Box 550, Boise, ID 83701-0550

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