ST LUKES MEDICAL CENTER WOOD RIVER LTD (NPI# 1508869470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508869470 |
| Entity Type | Organization |
| Organization Name | ST LUKES MEDICAL CENTER WOOD RIVER LTD |
| Other Organization Name | ST LUKES WOOD RIVER |
| Practice Address |
100 Hospital Drive Ketchum ID 83340-9999 |
| Mailing Address |
Po Box 2777 Boise ID 83701-2777 |
| Practice Telephone | 2087278100 |
| Mailing Telephone | 2087065000 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | JEFF TAYLOR (CFO) |
| Authorized Official Telephone | 2083812520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
62 | ID | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805909800 | 05 |
| Other Name | Type Code |
|---|---|
| ST LUKES WOOD RIVER | Doing Business As Name - Organization |
| Street Address |
100 HOSPITAL DRIVE |
| City | KETCHUM |
| State | ID |
| Zip Code | 83340-9999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172249 | Jon J Holmquist | Pharmacist | 100 Hospital Drive, Ketchum, ID 83340 | 2019-12-23 |
| 1841756947 | Briana Nora Tyne Acker | Occupational Therapist | 100 Hospital Drive, Ketchum, ID 83340 | 2019-02-13 |
| 1871042556 | Nancy Dettori | Registered Nurse | 100 Hospital Drive, Ketchum, ID 83340-0100 | 2016-09-23 |
| 1336514272 | Katherine Quaglia | Physical Therapist | 100 Hospital Drive, Suite # 104, Ketchum, ID 83340-7556 | 2015-12-03 |
| 1134506256 | Cathryn Erickson | Internal Medicine | 100 Hospital Drive, Ketchum, ID 83340 | 2015-04-27 |
| 1003205949 | Robbin Warner | Physical Therapist | 100 Hospital Drive, Ketchum, ID 83340 | 2015-01-15 |
| 1558607861 | Mary Kay Hausladen Foley | Physical Therapist | 100 Hospital Drive, Suite 104, Ketchum, ID 83340 | 2012-12-14 |
| 1407116114 | Sarah Barnett Seppa | Dietitian, Registered | 100 Hospital Drive, Ketchum, ID 83340 | 2012-05-29 |
| 1841559226 | Martha M Curry | Physical Therapist | 100 Hospital Drive, Ketchum, ID 83340 | 2012-05-07 |
| 1104195916 | Terence L Ahern | Emergency Medicine | 100 Hospital Drive, Ketchum, ID 83340 | 2011-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779606 | Rooted Womens Health | Occupational Therapist | 431 N Walnut Ave, Ketchum, ID 83340 | 2020-10-29 |
| 1841826252 | Pilar Settlemier Tumolo | Counselor | 220 River Street East, Ketchum, ID 83340 | 2020-03-17 |
| 1598390643 | Alyson Holmes Witmer | Counselor | 220 2nd Ave, Ste 201, Ketchum, ID 83340 | 2020-03-10 |
| 1952864506 | Mollie Parker Szybala | Naturopath | 128 Saddle Rd, Suite 103-c, Ketchum, ID 83340 | 2019-04-10 |
| 1740789353 | Courtney Loving | Counselor | 208 N. Spruce, Ketchum, ID 83340 | 2018-02-09 |
| 1164876785 | Rebecca Grace | Psychologist | 200 River St East, Ketchum, ID 83340 | 2016-04-20 |
| 1306209556 | Garrett Coman | Dermatology | St. Luke's Dermatology, 191 5th Street West, Ketchum, ID 83340 | 2016-04-04 |
| 1265895775 | Innerhealth Md PC | Acupuncturist | 180 West 1st Street, Suite 206, Ketchum, ID 83340 | 2016-04-01 |
| 1487023503 | Tomomi Ikawa | Chiropractor | 131 4th St. E., Suite 310, Ketchum, ID 83340 | 2015-09-18 |
| 1790195766 | Maria Morris | Acupuncturist | 220 South 2nd Ave #101, Ketchum, ID 83340 | 2014-04-30 |
| Find all providers in zip 83340 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265671739 | St Luke's Medical Center Wood River Ltd | General Acute Care Hospital | 100 Hospital Drive, Ketchum, ID 83340 | 2009-02-06 |
| 1043351505 | St Luke's Medical Center Woodriver Ltd | General Acute Care Hospital | 100 Hospital Drive, Ketchum, ID 83340 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851761464 | Brent Leavitt | General Acute Care Hospital | 4928 Pleasant View Dr, Chubbuck, ID 83202-1640 | 2015-09-25 |
| 1053669598 | Teton Valley Health Care, Inc | General Acute Care Hospital | 120 E Howard Avenue, Driggs, ID 83422-5112 | 2012-08-15 |
| 1639406267 | Florence Hospital, LLC | General Acute Care Hospital | 1300 E State St, Suite 102, Eagle, ID 83616-7059 | 2009-11-03 |
| 1912132176 | Initiatives Healthcare, LLC | General Acute Care Hospital | 1205 N 11th St, Boise, ID 83702-4102 | 2009-05-18 |
| 1417122821 | Elmore Medical Center Specialty Physician Group | General Acute Care Hospital | 890 N 6th E, Mountain Home, ID 83647-2206 | 2008-04-25 |
| 1275703241 | North Canyon Medical Center, Inc. | General Acute Care Hospital | 267 North Canyon Drive, Gooding, ID 83330-1858 | 2008-03-06 |
| 1720298102 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th Street, Weiser, ID 83672-2202 | 2007-05-23 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1295769537 | Gooding County Hospital District | General Acute Care Hospital | 1120 Montana St, Gooding, ID 83330-1858 | 2006-07-11 |
| 1881641629 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th St., Weiser, ID 83672-2202 | 2006-05-27 |
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| 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.