Organization
ST LUKE'S MEDICAL CENTER WOOD RIVER LTD
Active
Other names
ST LUKES CLINIC WOODRIVER - ANESTHESIA
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF TAYLOR (SENIOR VP FINANCE, CFO)
(208) 381-2520
Entity
Organization
Contact information
Practice address
100 HOSPITAL DRIVE, KETCHUM, ID 83340
(208) 788-2222
Mailing address
PO BOX 2777, BOISE, ID 83701-2777
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
62
ID
Other
Enumeration date
02/06/2009
Last updated
08/17/2016
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