NPI age
8 years
Enumerated 2018-05-18
● Active Type 2 · Organization
Subpart
St Lukes Clinic - Treasure Valley Llc
St Lukes Clinic - Treasure Valley Llc is 1 of 4 preventive medicine organizations in Idaho.
Primary specialty
Preventive Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
SR Vp & Cfo
Last NPPES update
2018-05-18
Source: monthly bulk 2026-05
How this organization compares
Across 4 active preventive medicine providers in Idaho.
NPI age
8 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-05Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
5155 S Howry Lane
Meridian, ID 83642
Mailing address
190 E Bannock St
Boise, ID 837126241
Authorized official
Jeff Taylor
SR Vp & Cfo
📞 2083812520
Specialties
-
Preventive Medicine PrimaryPublic health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
St Luke's Lifestyles Medicine
Practice context
Single-site organization. Only one practice location on file.
Subpart of St. Luke'S Health System.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.