NPI age
17 years
Enumerated 2009-02-06
● Active Type 2 · Organization
St Luke'S Medical Center Wood River Ltd
St Luke'S Medical Center Wood River Ltd is 1 of 55 general acute care hospital organizations in Idaho.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
Senior Vp Finance, Cfo
Last NPPES update
2016-08-17
Source: monthly bulk 2026-05
How this organization compares
Across 55 active general acute care hospital providers in Idaho.
NPI age
17 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-02Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
100 Hospital Drive
Ketchum, ID 83340
Mailing address
Po Box 2777
Boise, ID 837012777
Authorized official
Jeff Taylor
Senior Vp Finance, Cfo
📞 2083812520
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Briana Acker Occupational Therapist NPI 1841756947
- Erin Barker, PA-C Physician Assistant NPI 1881246106
- Kenneth Brait, MD Psychiatry & Neurology NPI 1699716936
- Tracey Busby, M.D. Family Medicine NPI 1124072251
- Sasha Chavez, NP-C Nurse Practitioner NPI 1922764737
- Peter Curran, MD Internal Medicine NPI 1013958222
- Martha Curry Physical Therapist NPI 1841559226
- Nancy Dettori, RN Registered Nurse NPI 1871042556
- Dan Fairman, MD Internal Medicine NPI 1023059250
- Mary Kay Foley, PT Physical Therapist NPI 1558607861
- Kathleen Haisley, MD Family Medicine NPI 1821039017
- Jon Holmquist Pharmacist NPI 1275172249
- David Laxson, M.D. Internal Medicine NPI 1083691398
- Katherine Quaglia, DPT Physical Therapist NPI 1336514272
- Deborah Robertson, MD Emergency Medicine NPI 1407870520
- Jasmine Schofield, RN Registered Nurse NPI 1679396618
- Sarah Schwing, COTA/L Occupational Therapy Assistant NPI 1801627559
- Sarah Seppa, RD, LD, CDE Dietitian, Registered NPI 1407116114
- Keith Sivertson, M.D. Emergency Medicine NPI 1275560260
- Robbin Warner Physical Therapist NPI 1003205949
Specialties
-
General Acute Care Hospital PrimaryDefinition to come.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ST LUKES CLINIC WOODRIVER - ANESTHESIA
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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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.