St Lukes Wood River Medical Center

LBN: St Lukes Wood River Medical Center Ltd
St Lukes Wood River Medical Center is an health care organization with primary practice located at 100 Hospital Dr , Ketchum ID 83340-9998. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. St Lukes Wood River Medical Center Ltd can be contacted via phone (208) 727-8100, or through Fowler, Kathryn via phone (208) 381-8717.

Contact Information

Primary practice address
100 Hospital Dr Ketchum ID 83340-9998
Phone: (208) 727-8100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fowler, Kathryn
Phone: (208) 381-8717

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 62 Idaho

Profile Details

NPI number 1508869470
LBN Legal business name St Lukes Wood River Medical Center Ltd
DBA Doing business as St Lukes Wood River Medical Center
Authorized official Fowler, Kathryn
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2005
Last updated Dec 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508869470 NPPES
Idaho MEDICAID 805909800

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