ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD


Address: 709 N Lincoln Ave, Jerome, ID 83338-1851
Phone: 2083244301

ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD (NPI# 1730511254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730511254
Entity Type Organization
Organization Name ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
Other Organization Name ST LUKES JEROME SWING BEDS
Practice Address 709 N Lincoln Ave
Jerome
ID 83338-1851
Mailing Address Po Box 2777
Boise
ID 83701-2777
Practice Telephone 2083244301
Mailing Telephone 2087065000
Enumeration Date 2013-08-07
Last Update Date 2018-11-28
Authorized Official Name JEFF TAYLOR (CFO, VP FINANCE)
Authorized Official Telephone 2083812520
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 275N00000X Medicare Defined Swing Bed Unit 08 ID Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
ID 806199500 05

Other Provider/Organization Names

Other Name Type Code
ST LUKES JEROME SWING BEDS Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285833343 St Lukes Magic Valley Regional Medical Center Ltd Rehabilitation Unit 775 Pole Line Road West, Suite 307, Twin Falls, ID 83301 2007-07-17
1164469870 St Lukes Magic Valley Regional Medical Center Ltd Psychiatric Unit 228 Shoup Ave W, Twin Falls, ID 83301-5022 2006-06-01
1881224327 St Lukes Magic Valley Regional Medical Center Ltd Pharmacy 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-01-23
1043257736 St Lukes Magic Valley Regional Medical Center Ltd Hospice Care, Community Based 601 Pole Line Rd, Twin Falls, ID 83301-4085 2006-06-01

Office Location

Street Address 709 N LINCOLN AVE
City JEROME
State ID
Zip Code 83338-1851

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336138783 Brian Lee Johnson Family Medicine 709 N Lincoln Ave, Jerome, ID 83338-1851 2005-10-18
1609414051 Troy M Jackman Pharmacist 709 N Lincoln Ave, Jerome, ID 83338-1851 2019-12-17
1891165569 Anne B Fullmer Nurse Practitioner 709 N Lincoln Ave, Jerome, ID 83338-1851 2015-10-06
1366874877 St Luke's Magic Valley Regional Medical Center Ltd General Acute Care Hospital 709 N Lincoln Ave, Jerome, ID 83338-1851 2013-08-07
1912137175 Paul A Dickinson Nurse Anesthetist, Certified Registered 709 N Lincoln Ave, Jerome, ID 83338-1851 2009-07-22
1700053774 St Benedicts Fmc Physician Assistants Physician Assistant 709 N Lincoln Ave, Jerome, ID 83338-1851 2008-05-09
1083833933 Thomas Henry Zepeda Personal Emergency Response Attendant 709 N Lincoln Ave, Jerome, ID 83338-1851 2007-04-25
1639211634 St. Benedicts Family Medical Center Long Term Care Hospital 709 N Lincoln Ave, Jerome, ID 83338-1851 2007-02-13
1750489647 Richard Emery Lally Emergency Medicine 709 N Lincoln Ave, Jerome, ID 83338-1851 2006-09-21
1902856727 St Benedicts Family Medical Center Skilled Nursing Facility 709 N Lincoln Ave, Jerome, ID 83338-1851 2006-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295336709 Family Health Services Pharmacy Pharmacy 218 W. Nez Perce, Jerome, ID 83338 2020-11-03
1811391626 Summit Therapy Services In Home Supportive Care 113 East Ave. F, Jerome, ID 83338 2014-10-22
1952645285 Readings Community Pharmacy Inc Pharmacy 133 West A, Jerome, ID 83338 2012-11-27
1801121298 Yolanda S. Sedano Physician Assistant 132 5th Ave West, Jerome, ID 83338 2009-10-02
1295898310 Ronald Gail Hendrickson Dentist 128 South Adams, Jerome, ID 83338 2006-12-19
1316035512 Johnson Chiropractic Clinic Chiropractor 600 N Lincoln Ave, Jerome, ID 83338 2006-10-11
1265527725 Lon M. Egbert, P.C. Specialist/Technologist 128 5th Ave West, Jerome, ID 83338 2006-10-03
1992898605 St Benedicts Family Medical Center Home Health 414 N Lincoln, Suite 1, Jerome, ID 83338 2006-10-02
1790231355 Lexa Marie Balling Pharmacist 2680 S Lincoln Ave, Jerome, ID 83338 2016-09-01
1922037530 St Benedicts Family Medical Center Clinic/Center 115 5th Ave W, Jerome, ID 83338-1824 2006-07-03
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Taxonomy Information

Taxonomy Code 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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
1275662546 St Lukes Medical Center Woodriver Ltd Medicare Defined Swing Bed Unit 100 Hospital Drive, Ketchum, ID 83340-9999 2007-03-05
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
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Competitor

Search similar providers

City JEROME
Zip Code 83338

Improve Information

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Dataset Information

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.

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