ST LUKES MEDICAL CENTER WOODRIVER LTD (NPI# 1275662546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275662546 |
| Entity Type | Organization |
| Organization Name | ST LUKES MEDICAL CENTER WOODRIVER LTD |
| Other Organization Name | ST LUKES WOODRIVER SWINGBEDS |
| Practice Address |
100 Hospital Drive Ketchum ID 83340-9999 |
| Mailing Address |
Po Box 2777 Boise ID 83701-2777 |
| Practice Telephone | 2087882222 |
| Mailing Telephone | 2083812333 |
| Enumeration Date | 2007-03-05 |
| 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 |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 62 | ID | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE LIC # | 62 | 01 |
| Other Name | Type Code |
|---|---|
| ST LUKES WOODRIVER SWINGBEDS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093844367 | St Lukes Medical Center Woodriver Ltd | Home Health | 100 Hospital Drive, Ketchum, ID 83340 | 2007-03-05 |
| 1841343720 | St Lukes Medical Center Woodriver Ltd | Internal Medicine | 100 Hospital Drive, Ketchum, ID 83340 | 2007-01-22 |
| Street Address |
100 HOSPITAL DRIVE |
| City | KETCHUM |
| State | ID |
| Zip Code | 83340-9999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869470 | St Lukes Medical Center Wood River Ltd | General Acute Care Hospital | 100 Hospital Drive, Ketchum, ID 83340-9999 | 2005-05-24 |
| 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 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992913479 | Steele Memorial Medical Center | Medicare Defined Swing Bed Unit | 203 S. Daisy St., Salmon, ID 83467 | 2007-05-18 |
| 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 |
| 1710226451 | St Lukes Regional Medical Center | Medicare Defined Swing Bed Unit | 895 N 6th E, Mountain Home, ID 83647-2207 | 2013-01-31 |
| 1043528011 | St Lukes Mccall, Ltd | Medicare Defined Swing Bed Unit | 1000 State St, Mccall, ID 83638-3704 | 2010-09-23 |
| 1689876781 | Bmh Inc | Medicare Defined Swing Bed Unit | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-06-01 |
| 1043429327 | Bingham Memorial Hospital | Medicare Defined Swing Bed Unit | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-05-22 |
| 1700909983 | Walter Knox Memorial Hospital | Medicare Defined Swing Bed Unit | 1202 E Locust St, Emmett, ID 83617-2715 | 2007-04-10 |
| 1619039732 | Mccall Memorial Hospital | Medicare Defined Swing Bed Unit | 1000 State St, Mccall, ID 83638-3704 | 2006-12-14 |
| 1740341114 | Gooding County Hospital District | Medicare Defined Swing Bed Unit | 1120 Montana St, Gooding, ID 83330-1858 | 2006-12-12 |
| 1598825028 | Caribou Memorial Hospital | Medicare Defined Swing Bed Unit | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2006-12-12 |
| Find all providers with the same taxonomy | ||||
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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.