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.

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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.

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