ST LUKES MOUNTAIN VIEW MEDICAL CENTER
NPI 1063660645
Family Medicine in Boise, ID

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

The NPI number for St Lukes Regional Medical Center is 1063660645. It was assigned to this organization in the NPPES registry on September 8, 2008. The provider is doing business as St Lukes Mountain View Medical Center.

Q: What is St Lukes Regional Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 08, 2008CLIA 13D0521757 · Microscopy

3301 N SAWGRASS WAY, BOISE, ID 83704(208) 375-0862 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About St Lukes Mountain View Medical Center NPPES

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

ST LUKES MOUNTAIN VIEW MEDICAL CENTER (NPI 1063660645) is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since September 2008. The organization holds a CLIA Microscopy certificate valid through July 17, 2027 and lists Sandy Stevenson, Manager, as its authorized official.

NPPES Registry Identity

NPI1063660645

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameST LUKES REGIONAL MEDICAL CENTER

Location Address3301 N SAWGRASS WAYBoise, ID 83704-4493

Mailing Address3301 N Sawgrass WayBoise, ID 83704-4493 · (208) 375-0862

Phone(208) 375-0862

Organization SubpartNo

Authorized OfficialSandy StevensonManager · (208) 375-0862

Enumeration DateSeptember 8, 2008

✔ NPI 1063660645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · 03

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3301 N SAWGRASS WAY, Boise, ID 83704

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Other Names 1

Doing Business AsSt Lukes Mountain View Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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) 13D0521757

St Luke's Clinic Mountain View Medical Center · Boise, ID

Active · expires Jul 17, 2027

CLIA Number13D0521757

Laboratory TypeCommunity Clinic

Certificate Effective DateJuly 18, 2025

Certificate Expiration DateJuly 17, 2027

Laboratory DirectorEric Maier

Laboratory Phone(208) 375-0862

Laboratory LocationSt Luke's Clinic Mountain View Medical Center3301 N Sawgrass Way, Boise, ID 83704

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.

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Other Providers at the Same Location NPPES 16

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

MS. MICHELE RENEE BIRCH DNP, FNP-C

Nurse Practitioner (Family)