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ST LUKES INTERNAL MEDICINE
NPI 1316980345
Clinic/Center - Medical Specialty in Meridian, ID

Active since June 14, 2006CLIA 13D2068325 · Waiver
520 S EAGLE RD, SUITE 3102, MERIDIAN, ID 83642(208) 706-5100(208) 706-5169 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 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 1316980345) is a healthcare organization registered as a medical specialty in Meridian, Idaho and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Carrie Lynne Cowgill, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1316980345
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameST LUKES REGIONAL MEDICAL CENTER
Location Address520 S EAGLE RD, SUITE 3102Meridian, ID 83642-6351
Mailing AddressPo Box 550Boise, ID 83701-0550 · (208) 706-5100 · Fax (208) 706-5169
Phone(208) 706-5100
Fax(208) 706-5169
Organization SubpartNo
Authorized OfficialCarrie Lynne CowgillCredentialing Coordinator · (208) 381-4137
Enumeration DateJune 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316980345 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).
520 S EAGLE RD, Meridian, ID 83642
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Other Names 1

Doing Business AsSt Lukes Internal Medicine

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 of Waiver 13D2068325

St Luke's Internal Medicine · Meridian, ID
Active · expires Nov 2, 2027
CLIA Number13D2068325
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorBenjamin Powers
Laboratory Phone(208) 706-5100
Laboratory LocationSt Luke's Internal Medicine520 S Eagle Rd Ste 3102, Meridian, ID 83642
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. MAGGIE D. VUTURO MD
Urology (Urogynecology and Reconstructive Pelvic Surgery)
520 S EAGLE RD, STE 3112
MERIDIAN, ID 83642
Ada County (208) 706-5800
MICHAEL J GRIFFITHS RPH
Pharmacist
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-5255
ROBIN MCGAW HUGHES PT
Physical Therapist
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 381-4757
MRS. AUDREY GYUNG NGUYEN PHARMD
Pharmacist (Pharmacotherapy)
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-1523
MR. BENJAMIN WATSON PA-C
Physician Assistant (Medical)
520 S EAGLE RD, SUITE 1234
MERIDIAN, ID 83642
Ada County (661) 332-9138
NICOLE DANIELLE BORCYK OTR/L
Occupational Therapist
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-5000
CRAIG R SPENCER MD
Urology
520 S EAGLE RD, STE 3112
MERIDIAN, ID 83642
Ada County (208) 706-5800
TRAVIS G WILLIAMS DO
Internal Medicine (Medical Oncology)
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-5651

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 1316980345. It was assigned to this organization in the NPPES registry on June 14, 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 520 S Eagle Rd Suite 3102, Meridian, ID 83642. The listed phone number is (208) 706-5100.

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 of Waiver (number 13D2068325) is associated with this NPI, valid through November 2, 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 August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.