St Luke'S Clinic LLC
NPI 1790718229 · Family Medicine Physician · Twin Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Luke'S Clinic LLC is a Family Medicine Physician organization in Twin Falls, ID (NPI 1790718229).
Provider details
- NPI number
- 1790718229
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- St Lukes Magic Valley Regional Medical Center Ltd
- Organization subpart
- Yes
- Authorized official
- Kathryn Fowler, Senior Vp, Cfo(208) 381-8717
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
- Occupational Medicine Physician2083X0100X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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)
- Doing business as
- St Lukes Clinic - Magic Valley/Jerome
- Doing business as
- St Lukes Jerome Rhc
Additional practice locations (1)
- 132 5th Ave W Ste 1/2Jerome, ID 83338-1825Phone: (208) 814-9800
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Frequently asked questions
- What is St Luke'S Clinic LLC's NPI number?
- St Luke'S Clinic LLC's National Provider Identifier (NPI) is 1790718229, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Luke'S Clinic LLC?
- St Luke'S Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is St Luke'S Clinic LLC located?
- St Luke'S Clinic LLC's practice location on file with NPPES is 775 Pole Line Rd W, Twin Falls, ID 83301-5814.
- What is St Luke'S Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for St Luke'S Clinic LLC is (208) 814-1000.
- Does St Luke'S Clinic LLC accept Medicare?
- St Luke'S Clinic 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 Luke'S Clinic LLC?
- The authorized official listed on St Luke'S Clinic 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 Luke'S Clinic LLC's NPI active?
- Yes — St Luke'S Clinic LLC's NPI (1790718229) 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.