ST. LUKE'S HEALTH SYSTEM
NPI 1720487846
General Acute Care Hospital - Children in Boise, ID

NPI Status: Active since August 14, 2014

Contact Information

190 E BANNOCK ST
BOISE, ID
ZIP 83712
Phone: (208) 381-2222

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  • Organization
  • General Acute Care Hospital
  • Children
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 13D0662992
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About ST. LUKE'S HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for St. Luke's Health System, a provider established in Boise, Idaho operating as a General Acute Care Hospital, focusing in children . The healthcare provider is registered in the NPI registry with number 1720487846 assigned on August 2014. The practitioner's primary taxonomy code is 282NC2000X with license number D-827 (ID). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Nickole Oneida (Site Manager)

NPI
1720487846
Provider Name
ST. LUKE'S HEALTH SYSTEM
Entity Type
Organization
Location Address
190 E BANNOCK ST BOISE, ID 83712
Location Phone
(208) 381-2222
Mailing Address
190 E BANNOCK ST BOISE, ID 83712
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2014
Last Update Date
08-14-2014
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St. Luke's Health System is a medicare supplier with PTAN 20679173 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital Children

Taxonomy Code
282NC2000X
Type
Hospitals
License No.
D-827
License State
ID

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICKOLE ONEIDA

Authorized Official Title
SITE MANAGER
Authorized Official Phone
(208) 381-7187

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20679173
Accepts Medicare Assignment
YES
Specialities List
Hospital, Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D0662992
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. DANIEL CLOETINGH
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St. Luke's Health System on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ST. LUKE'S HEALTH SYSTEM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720487846
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740881488
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 8 + 8 + 1 + 4 + 8 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1720487846 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518969328MRS. TAMI MONICA STONE CPHT
Individual
Pharmacy Technician190 E BANNOCK ST
BOISE, ID 83712
(208) 381-4353
1427045434DR. MARIE ANN HETHERINGTON PHARMACIST
Individual
Pharmacist190 E BANNOCK ST EMPLOYEE OUTPATIENT PHARMACY
BOISE, ID 83712
(208) 381-4353
1518940501DR. SCOTT ALAN ROBISON PHARM D
Individual
Pharmacist190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2490
1114901006MS. JUDITH M PERRY NP
Individual
Nurse Practitioner (Family)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1295705002DR. ADAM S MAXFIELD M.D.
Individual
Radiology (Diagnostic Radiology)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2094
1437109253 CHRISTOPHER GNADINGER MD
Individual
Emergency Medicine (Emergency Medical Services)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1932150976 LOUIS D VOULELIS MD
Individual
Anesthesiology190 E BANNOCK ST
BOISE, ID 83712
(208) 336-0895
1780635490 STEPHANIE BODES MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1437102050 RICHARD MACDONALD MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1477506350 DANIEL D RIRIE M.D.
Individual
Radiology (Diagnostic Radiology)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2094
1477506236 KATHRYN KRAKKER NP
Individual
Nurse Practitioner190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1861446064 VALERIE A HOLST M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2367
1215981410 MARK E KIECKBUSCH M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2367
1376597575 DANIEL J WALSH M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2367
1114971256 KEVIN TIMMEL MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1174578025 AMY BARUCH MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1639124217 JAMES C TORRES II MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1346295045 NATHAN ANDREW MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1821035817 NEERAJ SONI MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222
1174560098 THOMAS SANDERSON MD
Individual
Emergency Medicine190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720487846, enumerated in the NPI registry as an "organization" on August 14, 2014

The provider is located at 190 E Bannock St Boise, Id 83712 and the phone number is (208) 381-2222

This medical organization specializes in General Acute Care Hospital with taxonomy code 282NC2000X with a focus in Children

The provider's CLIA number is 13D0662992 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on August 14, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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