St Lukes Clinic - Wood River LLC
NPI 1972891604 · Internal Medicine Physician · Ketchum, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Lukes Clinic - Wood River LLC is a Internal Medicine Physician organization in Ketchum, ID (NPI 1972891604).
Provider details
- NPI number
- 1972891604
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- St Lukes Medical Center Woodriver Ltd
- Organization subpart
- Yes
- Authorized official
- Kathryn Fowler, Senior Vp, Cfo(208) 381-8717
- License
- 62 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
14 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
Registry dates
- Enumerated
- 2011-07-15
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Frequently asked questions
- What is St Lukes Clinic - Wood River LLC's NPI number?
- St Lukes Clinic - Wood River LLC's National Provider Identifier (NPI) is 1972891604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Lukes Clinic - Wood River LLC?
- St Lukes Clinic - Wood River LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is St Lukes Clinic - Wood River LLC located?
- St Lukes Clinic - Wood River LLC's practice location on file with NPPES is 100 Hospital Drive, Ketchum, ID 83340-9999.
- What is St Lukes Clinic - Wood River LLC's phone number?
- The practice phone number listed in the NPPES registry for St Lukes Clinic - Wood River LLC is (208) 727-8100.
- Does St Lukes Clinic - Wood River LLC accept Medicare?
- St Lukes Clinic - Wood River 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 - Wood River LLC?
- The authorized official listed on St Lukes Clinic - Wood River 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 - Wood River LLC's NPI active?
- Yes — St Lukes Clinic - Wood River LLC's NPI (1972891604) 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.