ST LUKES CLINIC-TREASURE VALLEY LLC NPI 1336442607

NPI Information

NPI: 1336442607
Provider Name: ST LUKES CLINIC-TREASURE VALLEY LLC

Doing Business As: ST LUKES RHC - EOMA

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 38D2056490

Address:
3950 17TH ST STE A
BAKER CITY, OR
ZIP 97814
Phone: (541) 523-1001
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ST LUKES CLINIC-TREASURE VALLEY LLC is a rural health clinic center in Baker City, OR. ST LUKES CLINIC-TREASURE VALLEY LLC NPI is 1336442607. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Lukes Rhc - Eoma.

The provider's business location address is:

3950 17TH ST STE A
BAKER CITY, OR
ZIP 97814-300
Phone: (541) 523-1001

The provider's authorized official is Kathryn Fowler .
The authorized official title is Senior Vp, Cfo and has the following contact phone number (208) 381-8717.

The CLIA number assigned to this NPI record is 38D2056490 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2010 and was last updated on 12/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		03	IDAHO	No
2	207V00000X	Obstetrics & Gynecology		03	IDAHO	No
3	363LF0000X	Nurse Practitioner	Family	03	IDAHO	No
4	261QR1300X	Clinic/Center	Rural Health	03	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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