Organization
ST LUKES CLINIC - WOOD RIVER LLC
Active
Parent organization
ST LUKES MEDICAL CENTER WOODRIVER LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES MEDICAL CENTER WOODRIVER LTD
Authorized official
KATHRYN FOWLER (SENIOR VP, CFO)
(208) 381-8717
Entity
Organization
Contact information
Practice address
100 HOSPITAL DRIVE, KETCHUM, ID 83340-9999
(208) 727-8100
Mailing address
PO BOX 640, BOISE, ID 83701-0640
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
62
ID
207P00000X
Emergency Medicine Physician
62
ID
207Q00000X
Family Medicine Physician
62
ID
207R00000X
Internal Medicine Physician
Primary
62
ID
207V00000X
Obstetrics & Gynecology Physician
62
ID
207X00000X
Orthopaedic Surgery Physician
62
ID
208800000X
Urology Physician
62
ID
Other
Enumeration date
07/15/2011
Last updated
04/23/2026
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