Organization
ST LUKES WOOD RIVER MEDICAL CENTER LTD
Active
Parent organization
ST LUKES HEALTH SYSTEM LTD
Other names
ST LUKES WOODRIVER SWINGBEDS
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
100 HOSPITAL DR, KETCHUM, ID 83340-9998
(208) 788-2222
Mailing address
PO BOX 2777, BOISE, ID 83701-2777
(208) 381-2333
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
62
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62
STATE LIC #
ID
Enumeration date
03/05/2007
Last updated
04/23/2026
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