Organization · Type 2 NPI
ST Luke's Magic Valley Regional Medical Center Ltd
Critical Access Hospital · Jerome, ID
NPI number
1366874877
Active
Practice location
709 N Lincoln Ave
Jerome, ID 83338-1851
Mailing address
PO Box 2777
Boise, ID 83701-2777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Access Hospital Primary | 282NC0060X | 08 (ID) |
Critical Access Hospital: Definition to come.
11 other providers at this address
- ST Benedicts FMC Physician AssistantsPhysician Assistant Jerome, ID NPI 1700053774
- ST Benedicts Family Medical CenterSkilled Nursing Facility Jerome, ID NPI 1902856727
- ST Lukes Magic Valley Regional Medical Center LtdMedicare Defined Swing Bed Hospital Unit Jerome, ID NPI 1730511254
- St. Benedicts Family Medical CenterLong Term Care Hospital Jerome, ID NPI 1639211634
- Anne B. Fullmer, FNPFamily Nurse Practitioner Jerome, ID NPI 1891165569
- Brian Lee Johnson, MDFamily Medicine Physician Jerome, ID NPI 1336138783
- Curtis Phillip Emery, RT (R)(CT)Computed Tomography Radiologic Technologist Jerome, ID NPI 1942029582
- Paul A. Dickinson, CRNACertified Registered Nurse Anesthetist Jerome, ID NPI 1912137175
- Richard Emery Lally, MDEmergency Medical Services (Emergency Medicine) Physician Jerome, ID NPI 1750489647
- Thomas Henry Zepeda, MDPersonal Emergency Response Attendant Jerome, ID NPI 1083833933
- Troy M. Jackman, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Jerome, ID NPI 1609414051
About NPI 1366874877
ST Luke's Magic Valley Regional Medical Center Ltd's National Provider Identifier is 1366874877, issued on Aug 7, 2013. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Jerome, ID. The record was last updated on Apr 23, 2026.