St Lukes Magic Valley Regional Medical Center Ltd

NPI #1164469870 in Twin Falls, Idaho

Provider Information

NPI Number
1164469870
Entity Type
Organization
Organization Name
St Lukes Magic Valley Regional Medical Center Ltd
Subpart
Yes (part of a larger organization)
Parent Organization
ST LUKES HEALTH SYSTEM LTD
Primary Specialty
Psychiatric Unit
Enumeration Date
Jun 1, 2006
Last Updated
Jun 29, 2023

Practice Location

Address
228 SHOUP AVE W
State
Idaho
ZIP Code
83301-5022
Phone
(208) 734-6760

Authorized Official

Name
KATHRYN FOWLER
Title
SENIOR VP, CFO
Phone
(208) 381-8717

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital
Psychiatric Unit

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