NPI age
21 years
Enumerated 2005-05-24
● Active Type 2 · Organization
Subpart
St Lukes Wood River Medical Center Ltd
St Lukes Wood River Medical Center Ltd is 1 of 55 general acute care hospital organizations in Idaho.
Primary specialty
General Acute Care Hospital
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 55 active general acute care hospital providers in Idaho.
NPI age
21 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-05Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
100 Hospital Dr
Ketchum, ID 833409998
Mailing address
Po Box 2777
Boise, ID 837012777
Authorized official
Kathryn Fowler
Senior Vp, Cfo
📞 2083818717
Individual providers at this organization
20 individual providers on file at this primary practice address.
- James Abbott, MD Dermatology NPI 1518490283
- Charlotte Alexander, MD Orthopaedic Surgery NPI 1811933963
- Hadi Bhurgri, MD Internal Medicine NPI 1124388947
- Christopher Bodle, M.D. Emergency Medicine NPI 1720407232
- Teresa Brennan, R.D. Dietitian, Registered NPI 1700032000
- Katherine Buckley, MD Emergency Medicine NPI 1649808718
- Blair Choate, BSN Registered Nurse NPI 1295569036
- James Cleveland, CRNA Nurse Anesthetist, Certified Registered NPI 1265624290
- Ashlyn Cooper, PHARMD Pharmacist NPI 1659024594
- Pamela Dick, MS, RD, CDCES Dietitian, Registered NPI 1598947368
- Kelly Dilorenzo, M.D. Emergency Medicine NPI 1376937318
- John Driscoll, CRNA Nurse Anesthetist, Certified Registered NPI 1437341468
- Caitlin Ferry, M.S., CCC-SLP Speech-Language Pathologist NPI 1083164917
- Frank Fiaschetti, MD Surgery NPI 1376568212
- Jennie Hooper, M.D. Emergency Medicine NPI 1417395021
- Autumn Loomis, MD Emergency Medicine NPI 1457676314
- Royal McClure, MD Internal Medicine NPI 1093768368
- Lorena McClusky, RPH Pharmacist NPI 1619515814
- David Nicholson, C.R.N.A. Nurse Anesthetist, Certified Registered NPI 1912985755
- Joanna Peters Nurse Practitioner NPI 1356885982
Specialties
-
General Acute Care Hospital PrimaryDefinition to come.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805909800 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
St Lukes Wood River Medical Center
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of St Lukes Health System Ltd.
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Request a quote →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.