ST LUKES CLINIC-TREASURE VALLEY LLC
ST LUKES CLINIC-TREASURE VALLEY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1326336058, based in Boise, ID. The organization lists 15 taxonomy classifications, with Family Medicine Physician recorded as primary.
Getting there
The practice address on file is 190 E BANNOCK ST, Boise, ID 83712. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 03 | ID | Family Medicine Physician primary |
| 03 | ID | Cardiovascular Disease Physician |
| 03 | ID | Hematology & Oncology Physician |
| 03 | ID | Developmental - Behavioral Pediatrics… |
| 03 | ID | Neurology Physician |
| 03 | ID | Neonatal-Perinatal Medicine Physician |
| 03 | ID | Endocrinology, Diabetes & Metabolism… |
| 03 | ID | Ophthalmology Physician |
| 03 | ID | Urology Physician |
| 03 | ID | Hospitalist Physician |
| 03 | ID | Surgery Physician |
| 03 | ID | Obstetrics & Gynecology Physician |
| 03 | ID | Emergency Medicine Physician |
| 03 | ID | Internal Medicine Physician |
| 03 | ID | Pediatrics Physician |
This provider holds licence 03 issued in ID. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 4981878402
Enrolled in Medicare 13 times, across 13 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Idaho | O20111119000045 | Part B Supplier - Clinic/group Practice |
| Oregon | O20120420000013 | Part B Supplier - Clinic/group Practice |
| Colorado | O20180418000510 | Part B Supplier - Clinic/group Practice |
| Utah | O20220420000688 | Part B Supplier - Clinic/group Practice |
| California | O20220426001409 | Part B Supplier - Clinic/group Practice |
| Washington | O20221223000130 | Part B Supplier - Clinic/group Practice |
| New York | O20230109001027 | Part B Supplier - Clinic/group Practice |
| Pennsylvania | O20241105001312 | Part B Supplier - Clinic/group Practice |
| Texas | O20241213002193 | Part B Supplier - Clinic/group Practice |
| Florida | O20250117000272 | Part B Supplier - Clinic/group Practice |
| North Carolina | O20250326000883 | Part B Supplier - Clinic/group Practice |
| Wisconsin | O20251013002694 | Part B Supplier - Clinic/group Practice |
| Virginia | O20251022004270 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 13 separate enrolment records across 13 states (ID, OR, CO, UT, CA, WA, NY, PA, TX, FL, NC, WI, VA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | 03 | ID | primary |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | 03 | ID | |
| 207RH0003X | Hematology & Oncology Physician Hematology & Oncology | 03 | ID | |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician Developmental - Behavioral Pediatrics | 03 | ID | |
| 2084N0400X | Neurology Physician Neurology | 03 | ID | |
| 2080N0001X | Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine | 03 | ID | |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician Endocrinology, Diabetes & Metabolism | 03 | ID | |
| 207W00000X | Ophthalmology Physician | 03 | ID | |
| 208800000X | Urology Physician | 03 | ID | |
| 208M00000X | Hospitalist Physician | 03 | ID | |
| 208600000X | Surgery Physician | 03 | ID | |
| 207V00000X | Obstetrics & Gynecology Physician | 03 | ID | |
| 207P00000X | Emergency Medicine Physician | 03 | ID | |
| 207R00000X | Internal Medicine Physician | 03 | ID | |
| 208000000X | Pediatrics Physician | 03 | ID |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1326336058 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 15, 2011 |
| Last updated | Apr 20, 2026 |
| Status | Active |
| Practice address |
190 E BANNOCK ST Boise, ID 83712 (208) 381-2222 |
| Mailing address |
PO BOX 640 Boise, ID 83701 |
| Other identifiers |
1326336058
· Medicaid (ID) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 2 | 6 | 3 | 3 | 6 | 0 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 4 | 6 | 6 | 3 | 3 | 0 | 1 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.