Organization
ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
Active
Parent organization
ST LUKES HEALTH SYSTEM LTD
Other names
SLMV Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES HEALTH SYSTEM LTD
Authorized official
KATHRYN FOWLER (SENIOR VP, CFO)
(208) 381-8717
Entity
Organization
Contact information
Practice address
601 POLE LINE RD, TWIN FALLS, ID 83301-4085
(208) 814-7600
Mailing address
PO BOX 2777, BOISE, ID 83701-2777
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807506600
—
ID
Enumeration date
06/01/2006
Last updated
12/08/2022
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