NPI age
12 years
Enumerated 2013-10-05
● Active Type 2 · Organization
St Luke'S Clinic, Llc
St Luke'S Clinic, Llc is 1 of 61 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
SR Vp/cfo
Last NPPES update
2016-09-29
Source: monthly bulk 2026-05
How this organization compares
Across 61 active clinic/center providers in Idaho.
NPI age
12 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-10Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
775 Pole Line Rd W
Twin Falls, ID 833015814
Mailing address
Po Box 640
Boise, ID 837010640
Authorized official
Jeff Taylor
SR Vp/cfo
📞 2083812520
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Marci Ahlquist Nurse Practitioner NPI 1376084673
- Julie Akins, FNP Nurse Practitioner NPI 1285811505
- Kovic Bailey, DO Family Medicine NPI 1194467688
- John Baker, M.D. Internal Medicine NPI 1124061262
- Gregory Ball, DO Internal Medicine NPI 1407985278
- Gretchen Basen, PA-C Physician Assistant NPI 1861549396
- Cory Bates, M.D. Urology NPI 1629256573
- Ronald Blair, D.O. Surgery NPI 1114947389
- Patrick Desmond, M.D. Internal Medicine NPI 1821038282
- Dennis Enomoto, MD Internal Medicine NPI 1649226127
- Daryl Ficklin, DO Internal Medicine NPI 1346213303
- Brian Fortuin, M.D. Internal Medicine NPI 1740221191
- Kristi Fregia Rucks, P.T. Physical Therapist NPI 1871659748
- Jason Greenhalgh, M.D. Urology NPI 1952478703
- Kenneth Harris, MD Family Medicine NPI 1447295480
- Reed Harris, D.O. Internal Medicine NPI 1780616888
- Jeffrey Himes, OTR/L Occupational Therapist NPI 1548449358
- Joseph Hymas, MD Internal Medicine NPI 1942490578
- David Johnson, M.D. Surgery NPI 1922035104
- Brandy Jones, ADULT-GERONTOLOGY NP Nurse Practitioner NPI 1750900320
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ST LUKE'S JEROME FAMILY MEDICINE
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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.