Organization
ST. LUKE'S MAGIC VALLEY RMC-LIFELINE
Active
Parent organization
ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER
Authorized official
JAMES ANGLE (CHIEF EXECUTIVE OFFICER)
(208) 814-0005
Entity
Organization
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-7419
Mailing address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-7419
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
14
ID
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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