NPI age
19 years
Enumerated 2006-06-01
● Active Type 2 · Organization
Subpart
St Lukes Magic Valley Regional Medical Center
St Lukes Magic Valley Regional Medical Center is 1 of 173 skilled nursing facility organizations in Idaho.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Angle
Ceo
Last NPPES update
2011-05-11
Source: monthly bulk 2026-05
How this organization compares
Across 173 active skilled nursing facility providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
801 Poleline Rd W
Twin Falls, ID 833015799
Mailing address
Po Box 409
Twin Falls, ID 833030409
Authorized official
James Angle
Ceo
📞 2087372101
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Anthony Teich, RD, LD Dietitian, Registered NPI 1538616198
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 02576 | BLUE CROSS PROV NUMBER |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of St Lukes Magic Valley Regional Medical Center.
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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.