NPI | 1790718229 |
---|---|
Doing Business As | ST LUKES CLINIC - MAGIC VALLEY/JEROME |
Doing Business As | ST LUKES JEROME RHC |
Entity Type | Organization |
Authorized Contact | KATHRYN FOWLER Senior VP, CFO 208-381-8717 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207RN0300X Internal Medicine, Nephrology | |
208000000X Pediatrics | |
2083X0100X Preventive Medicine, Occupational Medicine | |
208600000X Surgery | |
261QR1300X Clinic/Center, Rural Health | |
Enumeration Date | 2006-07-08 |
Last Update Date | 2022-12-08 |