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St Luke'S Humphreys Diabetes Center Inc

Registered Dietitian in Boise, ID · enumerated 2007 · authorized official Robert Scanlon, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306984729

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Registry record

Entity type Organization (Type 2)
Legal business name St Luke'S Humphreys Diabetes Center Inc
Other name <Unavail>
Practice address 1226 W River St, Boise, ID, 83702
Fax (208) 383-0190
Enumeration date Feb 1, 2007
Last updated in NPPES Jul 28, 2011

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 4366980001 (ID) Secondary

Authorized official

Name Robert Scanlon
Title Executive Director

Other identifiers

Identifier Type State Issuer
000010170136 Other ID REGENCE WALTERS
807850000 Medicaid ID -
806348400 Medicaid ID -
8G502 Other ID BLUE CROSS
000010013347 Other ID BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for St Luke'S Humphreys Diabetes Center Inc?
NPPES lists Robert Scanlon (Executive Director) as the authorized official for this organization.
What is the NPI number for St Luke'S Humphreys Diabetes Center Inc?
The NPI for St Luke'S Humphreys Diabetes Center Inc is 1306984729, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-28.