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St Lukes Magic Valley Regional Medical Center Ltd

NPI 1730511254ActiveOrganization· Medicare Defined Swing Bed Unit· Jerome, ID

Medicare Defined Swing Bed Unit in Jerome, Idaho, registered in NPPES in August 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 - critical access hospital.

Overview

NPI1730511254
StatusActive
Entity typeOrganization (subpart)
Parent organizationSt Lukes Health System Ltd
NPI issuedAug 7, 2013
Last updated in NPPESApr 23, 2026
Certified by providerApr 23, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Medicare Defined Swing Bed Unit Primary275N00000X08ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Critical Access Hospital (ID)

Medicare sources and data years