OrganizationActive
St Lukes Regional Medical Center
NPI 1477954204 · Ambulance · Mountain Home, ID
Provider details
- NPI number
- 1477954204
- Entity type
- Organization
- Primary specialty
- AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Jeff Taylor, Treasurer(208) 381-2520
- License
- 6919 (ID)
Specialties & taxonomies
Transportation Services
Transportation Services
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
895 N 6th E
Mountain Home, ID 83647-2207
Phone: (208) 587-8401
Street-level locationGet directions
Mailing address
Po Box 2777
Boise, ID 83701-2777
Other names (DBA / former)
- Doing business as
- St Lukes Elmore
Registry dates
- Enumerated
- 2014-09-11
- Last updated
- 2016-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.