NPI age
19 years
Enumerated 2006-09-13
● Active Type 2 · Organization
Subpart
St Luke'S Regional Medical Center
St Luke'S Regional Medical Center is 1 of 130 hospice care, community based organizations in Idaho.
Primary specialty
Hospice Care, Community Based
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 130 active hospice care, community based providers in Idaho.
NPI age
19 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3330 E Louise Dr Ste 400
Meridian, ID 836425123
Mailing address
Po Box 2777
Boise, ID 837012777
Authorized official
Kathryn Fowler
Senior Vp, Cfo
📞 2083818717
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Jennifer Gooding, N.P.-C. Nurse Practitioner NPI 1356513519
- Monica Hale, PTA Physical Therapy Assistant NPI 1619625431
- Lari Holladay, LCSW Social Worker NPI 1750615001
- Makaila Johnson, DPT Physical Therapist NPI 1447857057
- Kendrick King Gunning, PTA Physical Therapy Assistant NPI 1669034823
- Dana Shah Occupational Therapy Assistant NPI 1215761713
- Ashley Trace, LCSW Social Worker NPI 1346743358
- Lauren Willis Social Worker NPI 1407725906
Specialties
-
Hospice Care, Community Based PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 03 | HOSPITAL LICENSE # |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ST LUKE'S HOSPICE
-
ST LUKE'S HOSPICE
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
Subpart of St Lukes Health System Ltd.
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