ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD NPI 1043257736

NPI Information

NPI: 1043257736
Provider Name: ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD

Doing Business As: ST LUKES MAGIC VALLEY HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 13D2067998

Address:
601 POLE LINE RD
TWIN FALLS, ID
ZIP 83301
Phone: (208) 814-7600
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ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD is a hospice care community based in Twin Falls, ID. ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD NPI is 1043257736. The provider is registered as an organization entity type.
The provider Is Doing Business As St Lukes Magic Valley Hospice.

The provider's business location address is:

601 POLE LINE RD
TWIN FALLS, ID
ZIP 83301-085
Phone: (208) 814-7600

The provider's authorized official is Jeff Taylor .
The authorized official title is Ceo and has the following contact phone number (208) 381-2520.

The CLIA number assigned to this NPI record is 13D2067998 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 11/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H0077	OTHER	IDAHO	BLUE CROSS HOSP PROV #
2	000010006649	OTHER	IDAHO	BLUE SHIELD HOSP PROV #
3	807506500	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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