St Luke's Humphreys Diabetes Center Inc
Dietitian, Registered
1226 W River St, Boise
Idaho, 83702-7049
208-331-1155 208-383-0190
St Luke's Humphreys Diabetes Center Inc is a Dietitian, Registered in Boise, Idaho. It is located at 1226 W River St, Boise and it's customer support contact number is 208-331-1155. The authorized person of St Luke's Humphreys Diabetes Center Inc is Mr. Robert Scanlon who is Executive Director of this DME and his contact number is 208-331-1155.
St Luke's Humphreys Diabetes Center Inc is a registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor's degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
DME Supplier Details:
St Luke's Humphreys Diabetes Center Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | St Luke's Humphreys Diabetes Center Inc |
| Type: | Dietitian, Registered |
| Location: | 1226 W River St, Boise,
Idaho, 83702-7049 |
| Phone: | 208-331-1155 |
| Fax: | 208-383-0190 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Robert Scanlon |
| Position: | Executive Director |
| Contact Number: | 208-331-1155 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1306984729 |
| NPI Enumeration Date: | 01 Feb, 2007 |
| NPI Last Update On: | 28 Jul, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Luke's Humphreys Diabetes Center Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dietitian, Registered | | | Primary | |
| Durable Medical Equipment & Medical Supplies | 4366980001 | Idaho | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000010170136 | Other | Idaho | Regence Walters |
| 807850000 | Medicaid | Idaho | |
| 806348400 | Medicaid | Idaho | |
| 8G502 | Other | Idaho | Blue Cross |
| 000010013347 | Other | Idaho | Blue Shield |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1226 W River St,
Boise, Idaho |
| Zip: | 83702-7049 |
| Phone Number: | 208-331-1155 |
| Fax Number: | 208-383-0190 |
Patients can reach St Luke's Humphreys Diabetes Center Inc at
1226 W River St, Boise, Idaho or can
call on customer care at 208-331-1155.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.