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ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD

Hospice Care, Community Based

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Contact Information

ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
601 POLE LINE RD
TWIN FALLS, ID  83301-4085
 Phone: 208-814-7600
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

 251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD

NPI Number 1043257736
LBN Legal business name ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
Authorized official KATHRYN FOWLER - (SENIOR VP, CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/01/2006
Last updated 12/08/2022 - About 3 years ago
Identifiers
ID Medicaid 807506500
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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