St Lukes Clinic-Treasure Valley LLC
NPI 1417297821 · Family Medicine Physician · Mountain Home, ID
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Lukes Clinic-Treasure Valley LLC is a Family Medicine Physician organization in Mountain Home, ID (NPI 1417297821).
Provider details
- NPI number
- 1417297821
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- St Lukes Regional Medical Center Ltd
- Organization subpart
- Yes
- Authorized official
- Kathryn Fowler, Senior Vp, Cfo(208) 381-8717
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- St Lukes Clinic - Trinity Mountain
- Doing business as
- St Lukes Rhc - Trinity Mountain
Additional practice locations (1)
- 465 Mckenna DrMountain Home, ID 83647-2143Phone: (208) 587-9703
Registry dates
- Enumerated
- 2013-02-21
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Frequently asked questions
- What is St Lukes Clinic-Treasure Valley LLC's NPI number?
- St Lukes Clinic-Treasure Valley LLC's National Provider Identifier (NPI) is 1417297821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Lukes Clinic-Treasure Valley LLC?
- St Lukes Clinic-Treasure Valley LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is St Lukes Clinic-Treasure Valley LLC located?
- St Lukes Clinic-Treasure Valley LLC's practice location on file with NPPES is 840 N 4th E, Mountain Home, ID 83647-2166.
- What is St Lukes Clinic-Treasure Valley LLC's phone number?
- The practice phone number listed in the NPPES registry for St Lukes Clinic-Treasure Valley LLC is (208) 587-1850.
- Does St Lukes Clinic-Treasure Valley LLC accept Medicare?
- St Lukes Clinic-Treasure Valley LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St Lukes Clinic-Treasure Valley LLC?
- The authorized official listed on St Lukes Clinic-Treasure Valley LLC's NPPES record is Kathryn Fowler, Senior Vp, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Lukes Clinic-Treasure Valley LLC's NPI active?
- Yes — St Lukes Clinic-Treasure Valley LLC's NPI (1417297821) is active in the NPPES registry as of the last update on 2026-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.