ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER, LTD. (NPI# 1932154705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932154705 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER, LTD. |
| Practice Address |
801 Pole Line Rd W Twin Falls ID 83301-5810 |
| Mailing Address |
Po Box 2777 Boise ID 83701-2777 |
| Practice Telephone | 2088141000 |
| Mailing Telephone | 2087065000 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | JEFF TAYLOR (CFO, VP FINANCE) |
| Authorized Official Telephone | 2083812520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
14 | ID | Suppliers |
| N | 341600000X | Ambulance | ID | Transportation Services | |
| N | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services | ||
| Y | 282N00000X | General Acute Care Hospital | 14 | ID | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS OF IDAHO | 00018 | 01 |
| ID | REGENCE BLUE SHIELD OF ID | 000010006647 | 01 |
| ID | 807496600 | 05 |
| Street Address |
801 POLE LINE RD W |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784245 | Elizabeth Jo Johnson | Family Medicine | 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301-5810 | 2005-10-18 |
| 1164022919 | Grace Honecker | Dietitian, Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-10-30 |
| 1699384990 | Mckenzie Kennell | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-07-23 |
| 1528676277 | Gregory Haws | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-07-20 |
| 1699383349 | Taylor Sebert | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-07-20 |
| 1740803931 | Peggy M Doshier | Social Worker | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-05-21 |
| 1457984718 | Edward L Fuchs | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-02-14 |
| 1124659214 | Greg Hegman | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-01-28 |
| 1598396772 | Amanda Lynn Tyler | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-01-28 |
| 1881224327 | St Lukes Magic Valley Regional Medical Center Ltd | Pharmacy | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-01-23 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853344 | Magic Valley Regional Medical Center | General Acute Care Hospital | 650 Addison Ave W, Twin Falls, ID 83301-5444 | 2005-07-07 |
| 1689020422 | St. Luke's Magic Valley Medical Center | General Acute Care Hospital | 775 Pole Line Rd W, Twin Falls, ID 83301-5814 | 2016-05-11 |
| 1942586854 | St. Luke's Magic Valley Rmc-lifeline | General Acute Care Hospital | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2011-10-25 |
| 1952350134 | Magic Valley Regional Medical Center | General Acute Care Hospital | 650 Addison Ave W, Twin Falls, ID 83301-5444 | 2006-05-08 |
| 1861441040 | Magic Valley Regional Medical Center | General Acute Care Hospital | 650 Addison Ave W, Twin Falls, ID 83301-5444 | 2006-05-08 |
| 1770532954 | Magic Valley Regional Medical Center | General Acute Care Hospital | 650 Addison Ave W, Twin Falls, ID 83301-5444 | 2006-05-08 |
| 1194787010 | Magic Valley Regional Medical Center | General Acute Care Hospital | 650 Addison Ave W, Twin Falls, ID 83301-5444 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1225379183 | Sterling Hospital LLC | General Acute Care Hospital | 5412 S. Rock House Cir, Idaho Falls, ID 83406 | 2013-03-01 |
| 1023367828 | Stanley J Waters | General Acute Care Hospital | 1795 S Sub Station Rd, Emmett, ID 83617-9431 | 2012-09-07 |
| 1194908053 | Boise Intensive Care Hospital, Inc. | General Acute Care Hospital | 2131 South Bonito Way, Meridian, ID 83642-1659 | 2007-12-13 |
| 1346454337 | West Valley Medical Center | General Acute Care Hospital | 3720 S Indiana Ave, Caldwell, ID 83605 | 2007-05-09 |
| 1730203845 | Eastern Idaho Regional Medical Center | General Acute Care Hospital | 10701 S 1st E, Idaho Falls, ID 83404-7770 | 2007-03-16 |
| 1942308986 | Idaho Falls Recovery Center | General Acute Care Hospital | 1957 E 17th Street, Idaho Falls, ID 83404 | 2006-09-21 |
| 1609818483 | West Valley Medical Center Inc | General Acute Care Hospital | 381 B South Middleton Road, Middleton, ID 83644 | 2006-06-13 |
| 1992747570 | Madison Co Memorial Hospital | General Acute Care Hospital | 450 E. Main, Rexburg, ID 83440 | 2006-06-11 |
| 1144287756 | Bonner General Hospital, Inc. | General Acute Care Hospital | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2006-04-27 |
| 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. LUKE'S 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.