St Lukes Clinic - Magic Valley/Jerome
LBN: St Luke'S Clinic Llc
St Lukes Clinic - Magic Valley/Jerome is an health care organization with primary practice located at 775 Pole Line Rd W , Twin Falls ID 83301-5814. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Surgery, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
St Luke'S Clinic Llc can be contacted via phone (208) 814-1000, or through Fowler, Kathryn via phone (208) 381-8717.
Contact Information
Primary practice address
775 Pole Line Rd W
Twin Falls ID 83301-5814
Phone: (208) 814-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1790718229 |
|---|---|
| LBN Legal business name | St Luke'S Clinic Llc |
| DBA Doing business as | St Lukes Clinic - Magic Valley/Jerome |
| Authorized official | Fowler, Kathryn |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Dec 8th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790718229 | NPPES |
| Idaho | MEDICAID | 806593000 | |
| Idaho | Other | 1257846 | |
| Idaho | Other | 133992 | |
| Idaho | Other | DA1879 |
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