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ST LUKES REGIONAL MEDICAL CENTER

Long Term Care Hospital

Mtn Home, Idaho

Provider NPI: 1245371863

Organization Information:
Organization Name:  ST LUKES REGIONAL MEDICAL CENTER


Practice Location:
895 N 6TH E  MTN HOME, ID 83647 US
Tel: 208-587-8401  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y282E00000XHospitals
Long Term Care Hospital
1302582

Other Provider Identifiers:

IssuerNumberStateType
NCPDP NUMBER1302582ID01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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