St Lukes Medical Center Woodriver
NPI 1629255153 · Internal Medicine Physician · Ketchum, ID
St Lukes Medical Center Woodriver is a Internal Medicine Physician organization in Ketchum, ID (NPI 1629255153).
Provider details
- NPI number
- 1629255153
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeff Taylor, Cfo, Vp Finance(208) 381-2520
- License
- 62 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- St Lukes Clinic Woodriver
Registry dates
- Enumerated
- 2008-01-28
- Last updated
- 2016-06-22
Frequently asked questions
- What is St Lukes Medical Center Woodriver's NPI number?
- St Lukes Medical Center Woodriver's National Provider Identifier (NPI) is 1629255153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Lukes Medical Center Woodriver?
- St Lukes Medical Center Woodriver is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is St Lukes Medical Center Woodriver located?
- St Lukes Medical Center Woodriver's practice location on file with NPPES is 100 Hospital Drive, Ketchum, ID 83340.
- What is St Lukes Medical Center Woodriver's phone number?
- The practice phone number listed in the NPPES registry for St Lukes Medical Center Woodriver is (208) 788-2222.
- Who is the authorized official for St Lukes Medical Center Woodriver?
- The authorized official listed on St Lukes Medical Center Woodriver's NPPES record is Jeff Taylor, Cfo, Vp Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Lukes Medical Center Woodriver's NPI active?
- Yes — St Lukes Medical Center Woodriver's NPI (1629255153) is active in the NPPES registry as of the last update on 2016-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.