ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD (NPI# 1043257736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043257736 |
| Entity Type | Organization |
| Organization Name | ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD |
| Other Organization Name | ST LUKES MAGIC VALLEY HOSPICE |
| Practice Address |
601 Pole Line Rd Twin Falls ID 83301-4085 |
| Mailing Address |
Po Box 2777 Boise ID 83701-2777 |
| Practice Telephone | 2088147600 |
| Mailing Telephone | 2088147600 |
| Mailing Fax Number | 2087323065 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | JEFF TAYLOR (CEO) |
| Authorized Official Telephone | 2083812520 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER, LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS HOSP PROV # | H0077 | 01 |
| ID | BLUE SHIELD HOSP PROV # | 000010006649 | 01 |
| ID | 807506500 | 05 |
| Other Name | Type Code |
|---|---|
| St Lukes Magic Valley Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285833343 | St Lukes Magic Valley Regional Medical Center Ltd | Rehabilitation Unit | 775 Pole Line Road West, Suite 307, Twin Falls, ID 83301 | 2007-07-17 |
| 1164469870 | St Lukes Magic Valley Regional Medical Center Ltd | Psychiatric Unit | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2006-06-01 |
| 1881224327 | St Lukes Magic Valley Regional Medical Center Ltd | Pharmacy | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-01-23 |
| 1730511254 | St Lukes Magic Valley Regional Medical Center Ltd | Medicare Defined Swing Bed Unit | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2013-08-07 |
| Street Address |
601 POLE LINE RD |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-4085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134166820 | St. Luke's Magic Valley Regional Medical Center Ltd | Home Health | 601 Pole Line Rd, Twin Falls, ID 83301-4085 | 2006-06-01 |
| 1023479698 | Barbara V. Parker | Licensed Vocational Nurse | 601 Pole Line Rd, Twin Falls, ID 83301-3035 | 2016-03-10 |
| 1962862797 | Becky L Bloxham I | Social Worker | 601 Pole Line Rd, Twin Falls, ID 83301-3035 | 2016-03-07 |
| 1811357619 | Fernette Turner | Physical Therapist | 601 Pole Line Rd, Twin Falls, ID 83301-3035 | 2016-03-07 |
| 1902266794 | Steven Jones | Social Worker | 601 Pole Line Rd, Twin Falls, ID 83301-3035 | 2016-03-07 |
| 1487078804 | Makyla Butters | Speech-Language Pathologist | 601 Pole Line Rd, Twin Falls, ID 83301-4085 | 2014-02-05 |
| 1467789065 | Thomas Domingo Shaw | Physical Therapist | 601 Pole Line Rd, Twin Falls, ID 83301-3035 | 2009-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467772897 | Alliance Home Health of Idaho, LLC | Hospice Care, Community Based | 218 Falls Ave, Twin Falls, ID 83301-3372 | 2010-06-08 |
| 1174845762 | Hpa Idaho, LLC | Hospice Care, Community Based | 401 Gooding St N, Suite 107, Twin Falls, ID 83301-6177 | 2010-02-23 |
| 1144363078 | Northwest Bel-corp | Hospice Care, Community Based | 1440 Filer Avenue East, Twin Falls, ID 83301-4121 | 2007-02-14 |
| 1720086283 | Hospice Visions, Inc | Hospice Care, Community Based | 1770 Park View Dr, Twin Falls, ID 83301-3252 | 2005-07-08 |
| 1346668282 | Teton Healthcare, Inc. | Hospice Care, Community Based | 1411 Falls Ave E Ste 615, Twin Falls, ID 83301 | 2014-03-28 |
| 1730407701 | Lhcg Xvii, LLC | Hospice Care, Community Based | 222 Shoshone St E, Twin Falls, ID 83301-6105 | 2010-05-14 |
| 1992945653 | Brp Health Management Systems Inc | Hospice Care, Community Based | 1440 Filer Ave E, Twin Falls, ID 83301-4121 | 2009-02-20 |
| 1366547085 | Idaho Home Health & Hospice, Inc. | Hospice Care, Community Based | 826 Eastland Dr, Twin Falls, ID 83301-6858 | 2006-09-14 |
| 1760410310 | First Choice Home Care & Hospice | Hospice Care, Community Based | 147 Main Ave E, Twin Falls, ID 83301-6229 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441963 | Bluebird Hospice. LLC | Hospice Care, Community Based | 408 S Eagle Rd Ste 205, Eagle, ID 83616-6079 | 2020-06-08 |
| 1902426521 | All Grace Home Health, Hospice, and Palliative Care LLC | Hospice Care, Community Based | 815 S Bridgeway Pl Ste 110, Eagle, ID 83616-6021 | 2020-04-23 |
| 1306473277 | Just 4 Kids Hospice LLC | Hospice Care, Community Based | 2431 Jafer Ct, Idaho Falls, ID 83404-5587 | 2020-03-23 |
| 1164054136 | Mohave Healthcare, Inc. | Hospice Care, Community Based | 1675 E Riverside Dr Ste 200, Eagle, ID 83616-7473 | 2020-02-07 |
| 1083156194 | Spokane Healthcare, Inc. | Hospice Care, Community Based | 927 E Polston Ave Ste 203, Post Falls, ID 83854-9390 | 2016-11-07 |
| 1710432075 | Brio Idaho Hospice LLC | Hospice Care, Community Based | 120 N Woodruff Ave, Idaho Falls, ID 83401-4335 | 2016-08-16 |
| 1699228403 | S&g Hospice of Idaho LLC | Hospice Care, Community Based | 1655 1st St, Idaho Falls, ID 83401-4305 | 2016-07-28 |
| 1871946483 | Doctor's Hospice of Idaho LLC | Hospice Care, Community Based | 1552 N Crestmont Dr Ste B, Meridian, ID 83642-2193 | 2016-07-19 |
| 1225487648 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1230 Northwood Center Ct., Ste. B, Coeur D'alene, ID 83814-4940 | 2016-06-07 |
| 1427421114 | Keystone Hospice, LLC | Hospice Care, Community Based | 21 N Fisher Park Way, Eagle, ID 83616-4796 | 2015-11-04 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.