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Organization

ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD

Active
Parent organization
ST LUKES HEALTH SYSTEM LTD
Other names
ST LUKES JEROME SWING BEDS
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) 706-5000

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
08
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806199500
ID
Enumeration date
08/07/2013
Last updated
04/23/2026
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