St Lukes Regional Medical Center
Developmental - Behavioral Pediatrics
St Lukes Regional Medical Center is a Boise, Idaho based Pediatric center with medical specialization in
Developmental - Behavioral Pediatrics. St Lukes Regional Medical Center is doing business as
St Lukes Developmental Pediatrics.
It is located at
100 E Idaho St, Ste 200, Boise, Idaho - 83712-6223. They can be contacted on phone at
208-381-7312.
NPI number (Unique professional ID) for St Lukes Regional Medical Center is
1972627628 which was assigned by NPPES on 19 Mar, 2007 and it was last updated on 22 Aug, 2020.
St Lukes Regional Medical Center license number is
03 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in Idaho.
St Lukes Regional Medical Center is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
St Lukes Regional Medical Center basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | St Lukes Regional Medical Center |
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| Other Name : | St Lukes Developmental Pediatrics |
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Business Address:
St Lukes 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, 83712-6223
United States |
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| Phone Number : | 208-381-7312 |
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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 : | 1972627628 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 19 Mar, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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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 : | Jerry Hirschfeld |
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| Official Title or Position : | ADMINISTRATOR |
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| Phone Number : | 208-381-2818 |
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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 Lukes Regional Medical Center are as mentioned. Primary taxonomy code for St Lukes Regional Medical Center is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 03 | ID |
Legacy Identifiers:
Other legacy medical identifiers of St Lukes Regional Medical Center such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 03 | Other | ID | HOSPITAL STATE LIC # |
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 : | Po Box 550
Boise, ID, 83701-0550
United States |
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| Phone Number : | 208-381-7312 |
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Business Location:
Patients can refer following map for directions to
St Lukes 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.