| NPI | 1336442607 |
|---|---|
| Other Name | ST LUKES CLINIC - EOMA |
| Doing Business As | ST LUKES RHC - EOMA |
| Entity Type | Organization |
| Authorized Contact | KATHRYN FOWLER Senior VP, CFO 208-381-8717 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: ID 03) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID 03) |
| 207V00000X Obstetrics & Gynecology (Licence: ID 03) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 03) | |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2022-12-08 |