ST LUKES CLINIC-TREASURE VALLEY LLC


Address: 3950 17th St, Baker City, OR 97814-1300
Phone: 5415231001

ST LUKES CLINIC-TREASURE VALLEY LLC (NPI# 1336442607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336442607
Entity Type Organization
Organization Name ST LUKES CLINIC-TREASURE VALLEY LLC
Other Organization Name ST LUKES CLINIC - EASTERN OREGON MEDICAL ASSOCIATES
Practice Address 3950 17th St
Baker City
OR 97814-1300
Mailing Address Po Box 640
Boise
ID 83701-0640
Practice Telephone 5415231001
Mailing Telephone 2083812222
Enumeration Date 2010-12-08
Last Update Date 2016-09-29
Authorized Official Name JEFF TAYLOR (CFO, SYSTEM VP)
Authorized Official Telephone 2083812520
Authorized Official Credential CFO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 03 ID Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology 03 ID Allopathic & Osteopathic Physicians
N 363LF0000X Nurse Practitioner
Specialization: Family
03 ID Physician Assistants & Advanced Practice Nursing Providers
Y 261QR1300X Clinic/Center
Specialization: Rural Health
03 ID Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
St Lukes Clinic - Eastern Oregon Medical Associates Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417297821 St Lukes Clinic-treasure Valley LLC Family Medicine 465 Mckenna Dr, Mountain Home, ID 83647-2143 2013-02-21

Office Location

Street Address 3950 17TH ST
City BAKER CITY
State OR
Zip Code 97814-1300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427046820 J Daniel Smithson Family Medicine 3950 17th St, Suite A, Baker City, OR 97814-1300 2005-10-10
1073089298 Laura Van Duker Physician Assistant 3950 17th St, Baker City, OR 97814-1300 2018-10-15
1487046785 Colleen M Mcdonald Social Worker 3950 17th St, Baker City, OR 97814-1300 2015-02-23
1982009817 Micah Thayn Physician Assistant 3950 17th St, Baker City, OR 97814-1300 2014-11-04
1023430493 Lauren Zink Dietitian, Registered 3950 17th St, St # A, Baker City, OR 97814-1300 2014-01-20
1871835538 St Lukes Clinic - Treasure Valley LLC Durable Medical Equipment & Medical Supplies 3950 17th St, Baker City, OR 97814-1300 2013-03-20
1508113366 Devin S Bowman Physician Assistant 3950 17th St, Suite A, Baker City, OR 97814-1300 2012-08-12
1427348507 Neil J Carroll Family Medicine 3950 17th St, Baker City, OR 97814-1300 2011-04-11
1437486875 Monte W. Anderson Physician Assistant 3950 17th St, Ste A, Baker City, OR 97814-1300 2009-11-05
1487730479 Karen C Andruss Nurse Practitioner 3950 17th St, Suite A, Baker City, OR 97814-1300 2006-10-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083279871 Charles Henry Campos Counselor 2021 Court Street, Baker City, OR 97814 2019-05-07
1831546217 Veronica Crowder Physician Assistant Samg Orthopedics Baker City, 3325 Pocahontas Rd, Baker City, OR 97814 2016-05-16
1013389956 Dara Michelle Fields Counselor 2200 4th Street, Baker City, OR 97814 2015-10-29
1003223694 Colleen Davenport Nurse Practitioner 3975 N Midway Dr, Baker City, OR 97814 2014-07-16
1629418363 Sherry Melena Zacharias Forsyth Counselor 2100 Main St., New Directions, Baker City, OR 97814 2013-06-26
1609215573 Logan Clay Frederickson Family Medicine 3820 17th Street, Baker City, OR 97814 2013-06-24
1790124485 James Lee Morris Counselor 3610 Midway, Baker City, OR 97814 2013-06-17
1881955656 New Directions Northwest, Inc Substance Abuse Rehabilitation Facility 3610 Midway Drive, Baker City, OR 97814 2012-06-07
1972864759 New Directions Northwest, Inc. Substance Abuse Rehabilitation Facility 3700 Midway Drive, Baker City, OR 97814 2012-06-07
1659671113 Al H Brickman Pharmacist 1205 Campbell St., Baker City, OR 97814 2010-10-29
Find all providers in zip 97814

Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225375991 Saint Alphonsus Medical Center -baker City, Inc Clinic/Center 3325 Pocahontas Rd, Baker City, OR 97814-1464 2013-01-14
1992734743 Baker Clinic, LLP Clinic/Center 3175 Pocahontas Rd, Baker City, OR 97814-1434 2006-07-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770183063 Praxis Medical Group P.C. Clinic/Center 1890 7th St., Umatilla, OR 97882 2020-10-27
1336749621 Praxis Medical Group P.C. Clinic/Center 2011 Fourth St., La Grande, OR 97850 2020-10-27
1225694706 Columbia Lutheran Charities Clinic/Center 1111 N Roosevelt Dr Ste 210, Seaside, OR 97138-4604 2019-05-10
1093296519 Grande Ronde Hospital, Inc. Clinic/Center 10303 S Walton Rd, La Grande, OR 97850 2018-08-23
1285164921 Northwest Medical Foundation of Tillamook Clinic/Center 1005 Cougar St, Vernonia, OR 97064-1282 2017-06-15
1043694342 Grande Ronde Hospital, Inc Clinic/Center 570 8th, Elgin, OR 97827 2015-07-16
1992183859 Centennial Medical Group East, LLC Clinic/Center 145 E. Broadway, Myrtle Creek, OR 97457 2015-05-12
1477945517 Morrow County Health District Clinic/Center 365 W 3rd St, Ione, OR 97843-7216 2015-02-26
1699183236 Lake Health District Clinic/Center 700 South J St, Lakeview, OR 97630 2014-07-28
1487919783 Aurora Family Health and Maternity Care Services LLC Clinic/Center 21358 Hwy 99e Ne, Aurora, OR 97002 2012-07-12
Find all providers with the same taxonomy

Competitor

Search similar providers

City BAKER CITY
Zip Code 97814

Improve Information

Please comment or provide details below to improve the information on ST LUKES CLINIC-TREASURE VALLEY LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches