Organization
ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
Active
Parent organization
ST LUKES HEALTH SYSTEM LTD
Other names
ST LUKE'S JEROME
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
709 N LINCOLN AVE, JEROME, ID 83338-1851
(208) 324-4301
Mailing address
PO BOX 2777, BOISE, ID 83701-2777
(208) 324-4301
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
08
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002287000
—
ID
Enumeration date
08/07/2013
Last updated
04/23/2026
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