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St Lukes Regional Medical Center

NPI 1508105248ActiveOrganization· Skilled Nursing Facility· Mountain Home, ID

Skilled Nursing Facility in Mountain Home, Idaho, registered in NPPES in January 2013, part of St Lukes Health System Ltd. The authorized official on file is Kathryn Fowler, Senior Vp, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1508105248
StatusActive
Entity typeOrganization (subpart)
Parent organizationSt Lukes Health System Ltd
NPI issuedJan 31, 2013
Last updated in NPPESApr 23, 2026
Certified by providerApr 23, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000XH5ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (ID)

Medicare sources and data years

Other Skilled Nursing Facility providers in Mountain Home

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