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St Luke'S Medical Center Wood River Ltd — NPI 1265671739, Ketchum, ID | NPI Central

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NPI 1265671739

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St Luke'S Medical Center Wood River Ltd

NPI 1265671739 · Critical Access Hospital · Ketchum, ID

Provider details

NPI number: 1265671739
Entity type: Organization
Primary specialty: Critical Access HospitalHospitals
Organization subpart: No
Authorized official: Jeff Taylor, Senior Vp Finance, Cfo(208) 381-2520
License: 62 (ID)

Specialties & taxonomies

Critical Access HospitalPrimary282NC0060XLicense 62 (ID)
Hospitals

Practice location

100 Hospital Drive

Ketchum, ID 83340

Phone: (208) 788-2222

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 2777

Boise, ID 83701-2777

Other names (DBA / former)

Doing business as: St Lukes Clinic Woodriver - Anesthesia

Registry dates

Enumerated: 2009-02-06
Last updated: 2016-08-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.