St Lukes Clinic - Wood River LLC

NPI #1972891604 in Ketchum, Idaho

Provider Information

NPI Number: 1972891604
Entity Type: Organization
Organization Name: St Lukes Clinic - Wood River LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ST LUKES MEDICAL CENTER WOODRIVER LTD
Primary Specialty: Internal Medicine
Enumeration Date: Jul 15, 2011
Last Updated: Dec 8, 2022

Practice Location

Address: 100 HOSPITAL DRIVE
City: Ketchum
State: Idaho
ZIP Code: 83340-9999
Phone: (208) 727-8100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Emergency Medicine	207P00000X
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X
Orthopaedic Surgery	207X00000X
Urology	208800000X
Internal Medicine	207R00000X	Primary

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