St Lukes Clinic - Wood River Llc

LBN: St Lukes Clinic - Wood River Llc
St Lukes Clinic - Wood River Llc is an health care organization with primary practice located at 100 Hospital Drive , Ketchum ID 83340-9999. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. St Lukes Clinic - Wood River Llc can be contacted via phone (208) 727-8100, or through Fowler, Kathryn via phone (208) 381-8717.

Contact Information

Primary practice address
100 Hospital Drive Ketchum ID 83340-9999
Phone: (208) 727-8100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fowler, Kathryn
Phone: (208) 381-8717

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 62 Idaho
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 62 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 62 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 62 Idaho
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 62 Idaho
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 62 Idaho
Allopathic & Osteopathic Physicians / Urology 208800000X 62 Idaho

Profile Details

NPI number 1972891604
LBN Legal business name St Lukes Clinic - Wood River Llc
DBA Doing business as
Authorized official Fowler, Kathryn
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 15th, 2011
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.

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