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 1710143672

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
Specialties on file
5
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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 381-2222
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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)
Internal Medicine Physician Taxonomy 207R00000X · Licence 03 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence 03 (ID)
Surgery Physician Taxonomy 208600000X · Licence 03 (ID)
Urology Physician Taxonomy 208800000X · Licence 03 (ID)

Record details

NPI number1710143672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Kee — Administrator · (208) 381-5329
Other names St Lukes Clinic Boise/Meridian
NPI enumeratedJuly 31, 2008
Last updated in NPPESJuly 31, 2008
Mailing addressPo Box 550, Boise, ID 83701-0550

Other providers in Boise