| NPI | 1790718229 |
|---|---|
| Doing Business As | ST LUKES CLINIC - MAGIC VALLEY/JEROME |
| Doing Business As | ST LUKES JEROME RHC |
| Entity Type | Organization |
| Authorized Contact | KATHRYN FOWLER Senior VP, CFO 208-381-8717 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RN0300X Internal Medicine, Nephrology | |
| 208000000X Pediatrics | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 208600000X Surgery | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2022-12-08 |