ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD – NPI #1366874877
General Acute Care Hospital

ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD is a general acute care hospital located in JEROME, ID. NPPES has assigned the NPI number 1366874877 to ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD on August 07, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was last updated on Apr 23, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD below.

NPI Profile for
ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD

NPI Number
1366874877
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
Primary location
709 N LINCOLN AVE
JEROME, ID 83338-1851
Phone: (208) 324-4301 Fax:
Mailing address
PO BOX 2777
BOISE, ID 83701-2777
Phone: (208) 324-4301 Fax:
Organization Subpart
Yes - ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD is subpart of another organization.
Authorized Official
KATHRYN FOWLER
SENIOR VP, CFO
Phone: (208) 381-8717
Updated
Certification Date
Apr 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidID002287000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
ID 08

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1066.1
Content Type
Affiliation
Y
Endpoint Location
8215 W 108TH TER,
OVERLAND PARK, KS 77025-1669