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Contact Information

ST LUKES MEDICAL CENTER WOODRIVER LTD
100 HOSPITAL DRIVE
KETCHUM, ID83340
 Phone: 208-788-2222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for ST LUKES MEDICAL CENTER WOODRIVER LTD

NPI # 1093844367
LBN Legal business name ST LUKES MEDICAL CENTER WOODRIVER LTD
Authorized official BRUCE JENSEN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/05/2007
Last updated 12/05/2007 - About 19 years ago
Identifiers
ID License # 62
ID Other 62 STATE LIC #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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