ST LUKES CLINIC - CALDWELL UROLOGY
NPI 1952604563
Urology in Caldwell, ID

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

The NPI number for St Lukes Regional Medical Center is 1952604563. It was assigned to this organization in the NPPES registry on December 21, 2010. The provider is doing business as St Lukes Clinic - Caldwell Urology.

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

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since December 21, 2010CLIA 13D0674117 · Microscopy

1620 S KIMBALL AVE, CALDWELL, ID 83605(208) 454-9181 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About St Lukes Clinic - Caldwell Urology NPPES

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

ST LUKES CLINIC - CALDWELL UROLOGY (NPI 1952604563) is a healthcare organization registered as an urology in Caldwell, Idaho and active in the NPI registry since December 2010. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Jeff Taylor, System Vp Cfo, as its authorized official.

NPPES Registry Identity

NPI1952604563

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameST LUKES REGIONAL MEDICAL CENTER

Location Address1620 S KIMBALL AVECaldwell, ID 83605-4547

Mailing Address1620 S Kimball AveCaldwell, ID 83605-4547 · (208) 454-9181

Phone(208) 454-9181

Organization SubpartYes

Authorized OfficialJeff TaylorSystem Vp Cfo · (208) 381-2520

Enumeration DateDecember 21, 2010

✔ NPI 1952604563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in ID · 03

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1620 S KIMBALL AVE, Caldwell, ID 83605

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Other Names 1

Doing Business AsSt Lukes Clinic - Caldwell Urology

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) 13D0674117

St Luke's Clinic - Urology Caldwell · Caldwell, ID

Active · expires Aug 31, 2026

CLIA Number13D0674117

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorGregory T. Adams

Laboratory Phone(208) 454-9181

Laboratory LocationSt Luke's Clinic - Urology Caldwell1906 Fairview Ave Ste 350, Caldwell, ID 83605

CLIA data matches this NPI record on: 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 9

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

AMANDA LEE

Pediatrics