ST LUKES CLINIC-TREASURE VALLEY LLC

MOUNTAIN HOME, ID
NPI1417297821
Doing Business AsST LUKES RHC - TRINITY MOUNTAIN
Other NameST LUKES CLINIC - TRINITY MOUNTAIN
Entity TypeOrganization
Authorized ContactKATHRYN FOWLER
Senior VP, CFO
208-381-8717
Organization Subpart ?Yes
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
Additional Taxonomies207Q00000X Family Medicine
207R00000X Internal Medicine
208000000X Pediatrics
Enumeration Date2013-02-21
Last Update Date2022-12-08
Business Address
ST LUKES CLINIC-TREASURE VALLEY LLC
465 MCKENNA DR
MOUNTAIN HOME, ID 83647-2143
Phone number: 208-587-9703
Mailing Address
ST LUKES CLINIC-TREASURE VALLEY LLC
PO BOX 640
BOISE, ID 83701-0640
Phone number: 208-381-2222