St Luke's Regional Medical Center
Pediatric Neurodevelopmental Disabilities
St Luke's Regional Medical Center is a Boise, Idaho based Pediatric center with medical specialization in
Pediatric Neurodevelopmental Disabilities. St Luke's Regional Medical Center is doing business as
St Luke's Childrens - Neurology.
It is located at
100 E Idaho St, Ste 200, Boise, Idaho - 83712-6267. They can be contacted on phone at
208-381-5000 and fax number 208-381-5005.
NPI number (Unique professional ID) for St Luke's Regional Medical Center is
1316243330 which was assigned by NPPES on 09 Feb, 2011 and it was last updated on 09 Feb, 2011.
St Luke's Regional Medical Center license number is
03 for Pediatrics Neurodevelopmental Disabilities (2080P0008X) in Idaho.
St Luke's Regional Medical Center treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Complete Profile:
St Luke's Regional Medical Center basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neurodevelopmental Disabilities |
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| Provider Name : | St Luke's Regional Medical Center |
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| Other Name : | St Luke's Childrens - Neurology |
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Business Address:
St Luke's Regional Medical Center address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 E Idaho St, Ste 200
Boise, ID, 83712-6267
United States |
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| Phone Number : | 208-381-5000 |
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| Fax Number : | 208-381-5005 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1316243330 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 09 Feb, 2011 |
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| Last Updated On : | 09 Feb, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | John Kee |
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| Official Title or Position : | VP PHYSICIAN SERVICES |
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| Phone Number : | 208-381-5329 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Luke's Regional Medical Center are as mentioned. Primary taxonomy code for St Luke's Regional Medical Center is
2080P0008X (Pediatrics Neurodevelopmental Disabilities).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 103TC2200X | Psychologist Clinical Child & Adolescent | No | 03 | ID |
| 2080P0008X | Pediatrics Neurodevelopmental Disabilities | Yes | 03 | ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 190 E Bannock St
Boise, ID, 83712-6241
United States |
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| Phone Number : | 208-381-2222 |
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Business Location:
Patients can refer following map for directions to
St Luke's Regional Medical Center practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.