St Lukes Clinic-Treasure Valley LLC
NPI 1417297821ActiveOrganization· Family Medicine· Mountain Home, ID
Family Medicine in Mountain Home, Idaho, registered in NPPES in February 2013, part of St Lukes Regional Medical Center Ltd. The authorized official on file is Kathryn Fowler, Senior Vp, Cfo. Enrolled in Medicare as part a provider - rural health clinic.
Overview
| NPI | 1417297821 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St Lukes Regional Medical Center Ltd |
| NPI issued | Feb 21, 2013 |
| Last updated in NPPES | Apr 23, 2026 |
| Certified by provider | Apr 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Rural Health Clinic (ID) |
|---|
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