ST LUKES REGIONAL MEDICAL CENTER (NPI# 1477954204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477954204 |
| Entity Type | Organization |
| Organization Name | ST LUKES REGIONAL MEDICAL CENTER |
| Other Organization Name | ST LUKES ELMORE |
| Practice Address |
895 N 6th E Mountain Home ID 83647-2207 |
| Mailing Address |
Po Box 2777 Boise ID 83701-2777 |
| Practice Telephone | 2085878401 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | JEFF TAYLOR (TREASURER) |
| Authorized Official Telephone | 2083812520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
6919 | ID | Transportation Services |
| Y | 341600000X | Ambulance | 6919 | ID | Transportation Services |
| Other Name | Type Code |
|---|---|
| ST LUKES ELMORE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639356173 | St Lukes Regional Medical Center | Family Medicine | 11311 W Chinden Blvd, Boise, ID 83714-1021 | 2008-01-28 |
| 1023201084 | St Lukes Regional Medical Center | Clinic/Center | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2007-08-23 |
| 1770586794 | St Lukes Regional Medical Center | Pharmacy | 190 E Bannock St, Boise, ID 83712-6241 | 2005-05-23 |
| 1003295452 | St Lukes Regional Medical Center | Dietitian, Registered | 1226 W River St, Boise, ID 83702-7049 | 2015-05-19 |
| 1093109100 | St Lukes Regional Medical Center | Clinical Medical Laboratory | 3176 S Denver Way, Boise, ID 83705-5289 | 2015-03-26 |
| 1730505199 | St Lukes Regional Medical Center | Rehabilitation Unit | 600 N Robbins Rd, Boise, ID 83702-4565 | 2014-03-10 |
| 1093131450 | St Lukes Regional Medical Center | Skilled Nursing Facility | 600 N Robbins Rd, Boise, ID 83702-4565 | 2014-03-10 |
| 1326388737 | St Lukes Regional Medical Center | Surgery | 895 N 6th E, Mountain Home, ID 83647-2207 | 2013-02-21 |
| 1710226451 | St Lukes Regional Medical Center | Medicare Defined Swing Bed Unit | 895 N 6th E, Mountain Home, ID 83647-2207 | 2013-01-31 |
| 1508105248 | St Lukes Regional Medical Center | Skilled Nursing Facility | 895 N 6th E, Mountain Home, ID 83647-2207 | 2013-01-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST LUKES REGIONAL MEDICAL CENTER SIOUX CITY | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 |
| Street Address |
895 N 6TH E |
| City | MOUNTAIN HOME |
| State | ID |
| Zip Code | 83647-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620791 | Elmore Medical Center Hospital District | Skilled Nursing Facility | 895 N 6th E, Mountain Home, ID 83647-2207 | 2005-06-28 |
| 1710525274 | Kory Dell Olaveson | Pharmacist | 895 N 6th E, Mountain Home, ID 83647-2207 | 2019-12-16 |
| 1083141345 | Shelby Rae Lunday | Occupational Therapist | 895 N 6th E, Mountain Home, ID 83647-2207 | 2017-05-17 |
| 1346790409 | Regina Ugrinsky | Specialist | 895 N 6th E, Mountain Home, ID 83647-2207 | 2016-10-12 |
| 1811361231 | Melissa Cobb | Physical Therapy Assistant | 895 N 6th E, Mountain Home, ID 83647-2207 | 2015-11-23 |
| 1528435666 | Stacey Mcfarland-smith | Occupational Therapist | 895 N 6th E, Mountain Home, ID 83647-2207 | 2015-08-24 |
| 1396148029 | Angela Hale | Physical Therapy Assistant | 895 N 6th E, Mountain Home, ID 83647-2207 | 2014-10-08 |
| 1326455874 | Christian Jackson | Occupational Therapist | 895 N 6th E, Mountain Home, ID 83647-2207 | 2014-07-16 |
| 1528483211 | Christopher Stainberg | Physical Therapy Assistant | 895 N 6th E, Mountain Home, ID 83647-2207 | 2014-03-04 |
| 1710309174 | Melanie Lewellyan | Occupational Therapist | 895 N 6th E, Mountain Home, ID 83647-2207 | 2014-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1740767284 | Kelly Loy | Counselor | 210 North 3rd East, Mountain Home, ID 83647 | 2018-07-27 |
| 1891247912 | Daelene Sueann Tibbitts | Physical Therapy Assistant | 1665 E 5th N, Mountain Home, ID 83647 | 2016-10-25 |
| 1689065765 | Emma Orthel | Counselor | 2240 American Legion Blvd, Mountain Home, ID 83647 | 2015-02-11 |
| 1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
| 1952482440 | Michael Peter Koelsch | Internal Medicine | 805 North 6th East, Mountain Home, ID 83647 | 2006-10-18 |
| 1124113709 | Talmage W Delange | Counselor | 235 North 3rd East, Mountain Home, ID 83647 | 2006-10-03 |
| 1225044019 | Scott W Sessions | Physical Therapist | 245 N. 3rd, Mountain Home, ID 83647 | 2006-07-31 |
| 1750370730 | Kyle J Kenison | Optometrist | 855 West 6th South, Mountain Home, ID 83647 | 2005-10-21 |
| 1285628156 | Bruce Joseph Siedlecki | Obstetrics & Gynecology | Mtn.home Aif Force Base, Mdos, Mtn. Home, ID 83647 | 2005-09-07 |
| Find all providers in zip 83647 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255802047 | Front Line Ems, LLC | Ambulance | 2426 American Legion Blvd, Mountain Home, ID 83647-3146 | 2018-12-06 |
| 1205834348 | Action Ems | Ambulance | 1406 South West Highway 62, Mountain Home, AR 72654 | 2005-07-12 |
| 1881788933 | Baxter County Regional Hospital, Inc | Ambulance | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130074 | Shoshone County Ambulance Service District | Ambulance | 58738 Silver Valley Road, Osburn, ID 83849 | 2020-09-25 |
| 1053801035 | East Boise County Ambulance District | Ambulance | 204 W. Commercial St, Idaho City, ID 83631 | 2018-05-15 |
| 1861741282 | Plummer Gateway Fire Protection | Ambulance | 609 Poleyard Rd, Plummer, ID 83851 | 2012-08-30 |
| 1790064517 | Acute Rescue and Transport, Inc | Ambulance | 1104 W Dundee St, Boise, ID 83706-4118 | 2011-08-10 |
| 1265682694 | Idaho Medical Transport | Ambulance | 1924 E Preakness Ave, Coeur D Alene, ID 83815-9428 | 2008-09-23 |
| 1487822532 | Raft River Fire Protection District | Ambulance | 55 West 1st North, Ambulance House, Malta, ID 83342 | 2008-02-12 |
| 1235335415 | Marsing Ambulance Service Inc | Ambulance | 303 Main, Marsing, ID 83639 | 2007-06-25 |
| 1962629907 | Sagle Fire District | Ambulance | 2689 Gun Club Road, Sagle, ID 83860-8072 | 2007-04-19 |
| 1447476551 | Lost Rivers Emt | Ambulance | 201 North Idaho Street, Arco, ID 83213 | 2007-04-17 |
| 1114142833 | City of Kooskia | Ambulance | 001 4th Ave, Kooskia, ID 83539 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
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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.