NPI age
19 years
Enumerated 2006-06-01
● Active Type 2 · Organization
Subpart
St Lukes Magic Valley Regional Medical Center Ltd
St Lukes Magic Valley Regional Medical Center Ltd is 1 of 130 hospice care, community based organizations in Idaho.
Primary specialty
Hospice Care, Community Based
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fowler
Senior Vp, Cfo
Last NPPES update
2022-12-08
Source: monthly bulk 2026-05
How this organization compares
Across 130 active hospice care, community based providers in Idaho.
NPI age
19 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
601 Pole Line Rd
Twin Falls, ID 833014085
Mailing address
Po Box 2777
Boise, ID 837012777
Authorized official
Kathryn Fowler
Senior Vp, Cfo
📞 2083818717
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Becky Bloxham, LSW Social Worker NPI 1962862797
- Makyla Butters, SLP CF Speech-Language Pathologist NPI 1487078804
- Steven Jones, LSW Social Worker NPI 1902266794
- Michael Milligan, LCSW Social Worker NPI 1750977864
- Jonathan Nelson, LCSW Social Worker NPI 1043633407
- Barbara Parker, LPN Licensed Vocational Nurse NPI 1023479698
- Thomas Shaw, P.T. Physical Therapist NPI 1467789065
- Fernette Turner, PT Physical Therapist NPI 1811357619
- Krysta Vitek, LCSW Social Worker NPI 1285076919
Specialties
-
Hospice Care, Community Based PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807506500 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
St Lukes Magic Valley Hospice
-
St Lukes Magic Valley Hospice
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
Subpart of St Lukes Health System Ltd.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.