ST LUKES REGIONAL MEDICAL CENTER
NPI: 1386302131
· BOISE, ID 83713
· Pharmacy
· NPI assigned 11/29/2021
$650.19
Total Medicaid Paid
Provider Details
| Authorized Official | CURTIS, KELLEY (CHIEF PHARMACY OFFICER) |
| Parent Organization | ST LUKES HEALTH SYSTEM LTD |
| NPI Enumeration Date | 11/29/2021 |
Related Entities
Other providers sharing the same authorized official: CURTIS, KELLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
27 |
$650.19 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4215 |
Needle, sterile, any size, each |
27 |
27 |
$650.19 |