P Praxis·MD
● Active Type 2 · Organization Subpart

St Lukes Regional Medical Center

Emergency Medicine·Mountain Home, ID· NPI 1326388737 · Enumerated 2013 · 13 years on NPI
St Lukes Regional Medical Center is 1 of 336 emergency medicine organizations in Idaho.
NPI age
13 years
Enumerated 2013-02-21
Primary specialty
Emergency Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
System Vp Cfo
Last NPPES update
2016-06-22
Source: monthly bulk 2026-05

How this organization compares

Across 336 active emergency medicine providers in Idaho.

NPI age
13 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 51% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-02Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
895 N 6th E
Mountain Home, ID 836472207
📞 2085878401fax 2085878406
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083812222

Authorized official

Jeff Taylor
System Vp Cfo
📞 2083812520

Individual providers at this organization

16 individual providers on file at this primary practice address.

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    ID license #03 taxonomy 207P00000X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    ID license #03 taxonomy 208600000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • St Lukes Elmore Medical Center Physician Group
    Type code 3 recorded 2013-02-21

Practice context

Multi-provider organization. 16 individual providers on file at this primary address.

Subpart of St Lukes Regional Medical Center.

Provyx · Custom healthcare lists

Need all 336 Emergency Medicine providers in Idaho?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related