St Lukes Medical Center Woodriver Ltd

NPI #1093844367 in Ketchum, Idaho

Provider Information

NPI Number
1093844367
Entity Type
Organization
Organization Name
St Lukes Medical Center Woodriver Ltd
Primary Specialty
Home Health
Enumeration Date
Mar 5, 2007
Last Updated
Dec 5, 2007

Practice Location

Address
100 HOSPITAL DRIVE
State
Idaho
ZIP Code
83340
Phone
(208) 788-2222

Authorized Official

Name
BRUCE JENSEN
Title
DIRECTOR
Phone
(208) 788-2222

Specialties & Taxonomy Codes

Specialty
Home Health

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