MEDICARE: ST LUKES REGIONAL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1932977782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST LUKES REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	PO BOX 640
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83701-0640
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2619 W FAIRVIEW AVE
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83702-6722
Country	:	US
Telephone Number	:	208-381-7282
Fax Number	:

Authorized Official
Title or Position	:	CHIEF PHARMACY OFFICER
Name	:	KELLY CURTIS
Credential	:
Telephone Number	:	208-493-2307

Provider Enumeration Date	:	12/12/2023
Last Update Date	:	04/14/2026

Similar Medicare Providers

1891962197 — DR. LEAH KATHLEEN COBB MD
Practice Location Address:

2619 W FAIRVIEW AVE
BOISE, ID
83702-6722

Practice Phone: 208-706-2663
Practice Fax: 208-489-4300

1285904144 — LINDSEY J CARMICHAEL PA-C
Practice Location Address:

2619 W FAIRVIEW AVE STE 1100
BOISE, ID
83702-6722

Practice Phone: 208-706-9300
Practice Fax: 208-489-4300

1801162193 — KATHRYN GAIL HARBACHECK ATC
Practice Location Address:

2619 W FAIRVIEW AVE
BOISE, ID
83702-6722

Practice Phone: 208-863-9991
Practice Fax:

1780087502 — DILLON SMITH PA-C
Practice Location Address:

2619 W FAIRVIEW AVE STE 2100
BOISE, ID
83702-6722

Practice Phone: 208-706-2663
Practice Fax: 208-489-4300

1720533607 — SARAH ELLANA COLWELL RPH., PHARM.D.
Practice Location Address:

2619 W FAIRVIEW AVE
BOISE, ID
83702-6722

Practice Phone: 208-706-2676
Practice Fax:

1245738038 — KYLA MEGAN WOOLEY PA
Practice Location Address:

2619 W FAIRVIEW AVE STE 2100
BOISE, ID
83702-6722

Practice Phone: 208-706-2663
Practice Fax: 208-489-4300

Directions to “ST LUKES REGIONAL MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.