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ST LUKES INTERNAL MEDICINE
NPI 1013957471
Clinic/Center - Medical Specialty in Boise, ID

Active since June 07, 2006CLIA 13D1043918 · Microscopy
4840 N CLOVERDALE RD, BOISE, ID 83713(208) 706-8000(208) 706-8001 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Lukes Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST LUKES INTERNAL MEDICINE (NPI 1013957471) is a healthcare organization registered as a medical specialty in Boise, Idaho and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through August 4, 2027 and lists Carrie Lynne Cowgill, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1013957471
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameST LUKES REGIONAL MEDICAL CENTER
Location Address4840 N CLOVERDALE RDBoise, ID 83713-2423
Mailing AddressPo Box 550Boise, ID 83701-0550 · (208) 706-8000 · Fax (208) 706-8001
Phone(208) 706-8000
Fax(208) 706-8001
Organization SubpartNo
Authorized OfficialCarrie Lynne CowgillCredentialing Coordinator · (208) 381-4137
Enumeration DateJune 7, 2006
Last NPPES UpdateOctober 31, 2007
✔ NPI 1013957471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4840 N CLOVERDALE RD, Boise, ID 83713
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Other Names 1

Doing Business AsSt Lukes Internal Medicine

Other Identifiers 1

Medicare PIN1250904ID

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D1043918

St Luke's Internal Medicine - Cloverdale · Boise, ID
Active · expires Aug 4, 2027
CLIA Number13D1043918
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorJason Bronner
Laboratory Phone(208) 706-8000
Laboratory LocationSt Luke's Internal Medicine - Cloverdale4840 N Cloverdale Rd, Boise, ID 83713
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CRISTINA GABUTTI
Internal Medicine
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
SHANNON MOSKITIS LCSW
Social Worker (Clinical)
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
JESSICA MOORE ALLEN NP
Nurse Practitioner
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
MARK L HOLBROOK M.D.
Internal Medicine
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
MARIA K EWINGS MD
Internal Medicine
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
ESTER PETERS DO
Internal Medicine
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
DR. SUSAN ELIZABETH BAXTER MD
Internal Medicine
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
KAILEY JO KENDALL
Pharmacist
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Lukes Regional Medical Center's NPI number?

The NPI number for St Lukes Regional Medical Center is 1013957471. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as St Lukes Internal Medicine.

Where is St Lukes Regional Medical Center located?

St Lukes Regional Medical Center is located at 4840 N Cloverdale Rd, Boise, ID 83713. The listed phone number is (208) 706-8000.

What is St Lukes Regional Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does St Lukes Regional Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D1043918) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Lukes Regional Medical Center was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.