St Lukes Rhc - Trinity Mountain

LBN: St Lukes Clinic-Treasure Valley Llc
St Lukes Rhc - Trinity Mountain is an health care organization with primary practice located at 465 Mckenna Dr , Mountain Home ID 83647-2143. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. St Lukes Clinic-Treasure Valley Llc can be contacted via phone (208) 587-9703, or through Fowler, Kathryn via phone (208) 381-8717.

Contact Information

Primary practice address
465 Mckenna Dr Mountain Home ID 83647-2143
Phone: (208) 587-9703
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fowler, Kathryn
Phone: (208) 381-8717

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Idaho
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Idaho
Ambulatory Health Care Facilities / Rural Health 261QR1300X Idaho

Profile Details

NPI number 1417297821
LBN Legal business name St Lukes Clinic-Treasure Valley Llc
DBA Doing business as St Lukes Rhc - Trinity Mountain
Authorized official Fowler, Kathryn
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 21st, 2013
Last updated Dec 8th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417297821 NPPES
Idaho Other 1369110 MEDICARE / MULTI SPECIALTY CLINIC
Idaho Other 133999 MEDICARE / MULTI SPECIALTY CLINIC

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