St Luke's Clinic LLC

NPI 1790718229ActiveOrganization· Family Medicine· Twin Falls, ID

Family Medicine in Twin Falls, Idaho, registered in NPPES in July 2006, part of St Lukes Magic Valley Regional Medical Center Ltd. The authorized official on file is Kathryn Fowler, Senior Vp, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1790718229
Status	Active
Entity type	Organization (subpart)
Parent organization	St Lukes Magic Valley Regional Medical Center Ltd
NPI issued	Jul 8, 2006
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	—	—
Internal Medicine, Cardiovascular Disease	207RC0000X	—	—
Internal Medicine, Nephrology	207RN0300X	—	—
Pediatrics	208000000X	—	—
Preventive Medicine, Occupational Medicine	2083X0100X	—	—
Surgery	208600000X	—	—
Clinic/Center, Rural Health	261QR1300X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Oct 9, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026	No match	—
New York OMIG · Nov 4, 2026	No match	—
Ohio Medicaid · Nov 4, 2026	No match	—
Pennsylvania Medicheck · Nov 4, 2026	No match	—
Washington HCA · Nov 4, 2026	No match	—

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

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part A Provider - Rural Health Clinic (ID); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (WA)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part A Provider - Rural Health Clinic (ID); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (WA)

Medicare sources and data years

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All Family Medicine providers in Idaho →