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 9 psychiatric unit organizations in Idaho.
Primary specialty
Psychiatric Unit
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fowler
Senior Vp, Cfo
Last NPPES update
2026-04-23
Source: monthly bulk 2026-05
How this organization compares
Across 9 active psychiatric unit providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 11% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
228 Shoup Ave W
Twin Falls, ID 833015022
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.
- Sheryce Allendorf, LCSW Social Worker NPI 1457775074
- Umesh Bhandari, M.D. Psychiatry & Neurology NPI 1548572274
- Mark Edlund, MD, PHD Psychiatry & Neurology NPI 1699850966
- Kathleen Erwin, MD Psychiatry & Neurology NPI 1457499113
- Collete Hoglund Psychologist NPI 1841237328
- Pat Kaes Counselor NPI 1053628339
- Lisa McCue Pugrud, M.S., LPC Counselor NPI 1326161480
- Jeremiah Neibling, PMHNP Nurse Practitioner NPI 1154723120
- Taylor Ward, LMSW Social Worker NPI 1215872056
Specialties
-
Psychiatric Unit PrimaryIn general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of...
-
Psychiatric HospitalAn organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 100505262 | NEVADA MEDICAID INPT PROV |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ST LUKE'S CANYON VIEW BEHAVIORAL HEALTH SERVICES
-
ST LUKE'S CANYON VIEW BEHAVIORAL HEALTH SERVICES
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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