ST LUKE'S IDAHO FAMILY PHYSICIANS
NPI 1184958936
Family Medicine in Boise, ID

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

The NPI number for St Luke's Regional Medical Center is 1184958936. It was assigned to this organization in the NPPES registry on September 28, 2009. The provider is doing business as St Luke's Idaho Family Physicians.

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

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

Active since September 28, 2009CLIA 13D0902241 · Microscopy

130 E BOISE AVE, BOISE, ID 83706(208) 345-4066 Get Directions Write a Review

NPPES record last updated: September 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About St Luke's Idaho Family Physicians NPPES

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

ST LUKE'S IDAHO FAMILY PHYSICIANS (NPI 1184958936) is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since September 2009. The organization holds a CLIA Microscopy certificate valid through August 18, 2027 and lists Greg Orr, Director, Physician Services, as its authorized official.

NPPES Registry Identity

NPI1184958936

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameST LUKE'S REGIONAL MEDICAL CENTER

Location Address130 E BOISE AVEBoise, ID 83706-4302

Mailing Address130 E Boise AveBoise, ID 83706-4302 · (208) 345-4066

Phone(208) 345-4066

Organization SubpartNo

Authorized OfficialGreg OrrDirector, Physician Services · (208) 381-4103

Enumeration DateSeptember 28, 2009

✔ NPI 1184958936 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.

130 E BOISE AVE, Boise, ID 83706

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Other Names 1

Doing Business AsSt Luke's Idaho Family Physicians

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) 13D0902241

St Luke's Idaho Family Physicians · Boise, ID

Active · expires Aug 18, 2027

CLIA Number13D0902241

Laboratory TypePhysician Office

Certificate Effective DateAugust 19, 2025

Certificate Expiration DateAugust 18, 2027

Laboratory DirectorMark Rutherford

Laboratory Phone(208) 345-4066

Laboratory LocationSt Luke's Idaho Family Physicians130 E Boise Ave, Boise, ID 83706

CLIA data matches this NPI record on: Address Name 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 5

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

IRVIN E SACKMAN JR. MD

Family Medicine