Organization
ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
Active
Parent organization
ST LUKES HEALTH SYSTEM LTD
Other names
ST LUKE'S CANYON VIEW BEHAVIORAL HEALTH SERVICES
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
228 SHOUP AVE W, TWIN FALLS, ID 83301-5022
(208) 734-6760
Mailing address
PO BOX 2777, BOISE, ID 83701-2777
(208) 706-5000
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100505262
NEVADA MEDICAID INPT PROV
ID
Enumeration date
06/01/2006
Last updated
04/23/2026
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