St Luke'S Jerome

LBN: St Luke'S Magic Valley Regional Medical Center Ltd
St Luke'S Jerome is an health care organization with primary practice located at 709 N Lincoln Ave , Jerome ID 83338-1851. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. St Luke'S Magic Valley Regional Medical Center Ltd can be contacted via phone (208) 324-4301, or through Fowler, Kathryn via phone (208) 381-8717.

Contact Information

Primary practice address
709 N Lincoln Ave Jerome ID 83338-1851
Phone: (208) 324-4301
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fowler, Kathryn
Phone: (208) 381-8717

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 08 Idaho

Profile Details

NPI number 1366874877
LBN Legal business name St Luke'S Magic Valley Regional Medical Center Ltd
DBA Doing business as St Luke'S Jerome
Authorized official Fowler, Kathryn
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 7th, 2013
Last updated Dec 8th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366874877 NPPES
Idaho MEDICAID 002287000

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