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NPI 1477954204
● Active Type 2 · Organization
St Lukes Regional Medical Center
Ambulance · Mountain Home, ID · NPI 1477954204
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Enumerated 2014 · 11 years on NPI
St Lukes Regional Medical Center is 1 of 33 ambulance organizations in Idaho.
NPI age
11 years
Enumerated 2014-09-11
Primary specialty
Ambulance
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
Treasurer
Last NPPES update
2016-09-29
Source: monthly bulk 2026-05
How this organization compares
Across 33 active ambulance providers in Idaho.
NPI age
11 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-09 Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
895 N 6th E
Mountain Home, ID 836472207
📞 2085878401
Mailing address
Po Box 2777
Boise, ID 837012777
📞 2083812222
Authorized official
Jeff Taylor
Treasurer
📞 2083812520
Individual providers at this organization
16 individual providers on file at this primary practice address.
Lender Alger
Pharmacist
NPI 1205588613
Veronica Ballek , PT
Physical Therapist
NPI 1790115731
Lester Barroso
Physical Therapy Assistant
NPI 1568893667
Melissa Cobb
Physical Therapy Assistant
NPI 1811361231
Karen Galvan , M.D.
Surgery
NPI 1669635710
Angela Hale
Physical Therapy Assistant
NPI 1396148029
Jacob Hohenshelt , RDN
Dietitian, Registered
NPI 1881362101
Stephen Johnson , DO
Family Medicine
NPI 1427041201
Marilee Kuracina , MD
Emergency Medicine
NPI 1649216375
Melanie Lewellyan
Occupational Therapist
NPI 1710309174
Shelby Lunday , OTR
Occupational Therapist
NPI 1083141345
Stacey McFarland-Smith , MS OTR/L
Occupational Therapist
NPI 1528435666
Kory Olaveson , PHARMD
Pharmacist
NPI 1710525274
Christopher Stainberg
Physical Therapy Assistant
NPI 1528483211
Regina Ugrinsky , PT, DPT
Specialist
NPI 1346790409
Javlyn Weaver , PA
Physician Assistant
NPI 1528774932
Specialties
Ambulance
Primary
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
ID license #6919 taxonomy 341600000X
Ambulance
Definition to come...
ID license #6919 taxonomy 3416L0300X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
16 individual providers on file at this primary address.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.