ST LUKES REGIONAL MEDICAL CENTER – NPI #1508105248
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

ST LUKES REGIONAL MEDICAL CENTER is a skilled nursing facility (SNF) located in MOUNTAIN HOME, ID. NPPES has assigned the NPI number 1508105248 to ST LUKES REGIONAL MEDICAL CENTER on January 31, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

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 LUKES REGIONAL MEDICAL CENTER below.

NPI Profile for
ST LUKES REGIONAL MEDICAL CENTER

NPI Number
1508105248
Enumeration Date

(more than 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 LUKES REGIONAL MEDICAL CENTER
Primary location
895 N 6TH E
MOUNTAIN HOME, ID 83647-2207
Phone: (208) 580-2670 Fax:
Mailing address
PO BOX 2777
BOISE, ID 83701-2777
Phone: (208) 706-5000 Fax:
Organization Subpart
Yes - ST LUKES REGIONAL MEDICAL CENTER 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.

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
314000000X
- Skilled Nursing Facility (Primary)
ID H5

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