St Lukes Medical Center Woodriver Ltd

NPI #1841343720 in Ketchum, Idaho

Provider Information

NPI Number: 1841343720
Entity Type: Organization
Organization Name: St Lukes Medical Center Woodriver Ltd
Primary Specialty: Internal Medicine
Enumeration Date: Jan 22, 2007
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: BRUCE JENSEN
Title: DIRECTOR
Phone: (208) 727-8401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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