NPI age
13 years
Enumerated 2013-01-14
● Active Type 2 · Organization
Subpart
St Lukes Regional Medical Center
St Lukes Regional Medical Center is 1 of 264 durable medical equipment & medical supplies organizations in Idaho.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
System Vp Cfo
Last NPPES update
2016-09-30
Source: monthly bulk 2026-05
How this organization compares
Across 264 active durable medical equipment & medical supplies providers in Idaho.
NPI age
13 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-01Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
215 E Hawaii Ave
Nampa, ID 836866011
Mailing address
Po Box 640
Boise, ID 837010640
Authorized official
Jeff Taylor
System Vp Cfo
📞 2083812520
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Brian Affleck, MD Otolaryngology NPI 1386633824
- Richard Aguilar, M.D. Pediatrics NPI 1932198967
- Richard Ballantyne, DO Surgery NPI 1174745582
- Sol Bockelie, MD Family Medicine NPI 1275279192
- Michael Chenore, MD Family Medicine NPI 1225028632
- Michael Dee, M.D. Internal Medicine NPI 1053302182
- Michael Djernes, M.D. Psychiatry & Neurology NPI 1346230356
- William England, M.D Emergency Medicine NPI 1407883978
- Patricia Funkhouser, DNP Nurse Practitioner NPI 1689295180
- Victoria Goltry, MD Family Medicine NPI 1548259575
- Jeffrey Hartford, M.D. Family Medicine NPI 1720098577
- William Hatch, PA Physician Assistant NPI 1609865633
- Rory Hawker, MD Family Medicine NPI 1710509443
- Catherine Heil, MD Family Medicine NPI 1548824964
- Terry Hernandez-Ruelas, LCSW Social Worker NPI 1194012591
- Patrice Hirning, M.D. Internal Medicine NPI 1770580078
- Jeannette Jain, M.D. Pediatrics NPI 1154311199
- Colter Johnson, FNP-C Nurse Practitioner NPI 1215670013
- Shane Johnson, PA Physician Assistant NPI 1275512543
- Terri Jones, PA Physician Assistant NPI 1336138361
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
St Lukes Saltzer DME South
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of St Lukes Regional Medical Center.
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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.