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NPI 1508105248
● Active Type 2 · Organization
Subpart
St Lukes Regional Medical Center
Skilled Nursing Facility · Mountain Home, ID · NPI 1508105248
·
Enumerated 2013 · 13 years on NPI
St Lukes Regional Medical Center is 1 of 173 skilled nursing facility organizations in Idaho.
NPI age
13 years
Enumerated 2013-01-31
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fowler
Senior Vp, Cfo
Last NPPES update
2026-04-23
Source: monthly bulk 2026-05
How this organization compares
Across 173 active skilled nursing facility providers in Idaho.
NPI age
13 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2013 → 2026
2013-01 Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
895 N 6th E
Mountain Home, ID 836472207
📞 2085802670
Mailing address
Po Box 2777
Boise, ID 837012777
📞 2087065000
Authorized official
Kathryn Fowler
Senior Vp, Cfo
📞 2083818717
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
Skilled Nursing Facility
Primary
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
ID license #H5 taxonomy 314000000X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
ST LUKES ELMORE LONG TERM CARE
Type code 3
recorded 2022-12-08
ST LUKES ELMORE LONG TERM CARE
Type code 3
recorded 2013-01-31
Practice context
Multi-provider organization.
16 individual providers on file at this primary address.
Subpart of St Lukes Health System Ltd .
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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.