St Lukes Developmental Pediatrics

LBN: St Lukes Regional Medical Center
St Lukes Developmental Pediatrics is an health care organization with primary practice located at 100 E Idaho St Ste 200, Boise ID 83712-6223. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as the primary health care specialty. St Lukes Regional Medical Center can be contacted via phone (208) 381-7312, or through Hirschfeld, Jerry via phone (208) 381-2818.

Contact Information

Primary practice address
100 E Idaho St Ste 200 Boise ID 83712-6223
Phone: (208) 381-7312
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hirschfeld, Jerry
Phone: (208) 381-2818

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 03 Idaho

Profile Details

NPI number 1972627628
LBN Legal business name St Lukes Regional Medical Center
DBA Doing business as St Lukes Developmental Pediatrics
Authorized official Hirschfeld, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972627628 NPPES
Idaho Other 03 HOSPITAL STATE LIC #

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