Organization · Type 2 NPI

ST Lukes Regional Medical Center

Medicare Defined Swing Bed Hospital Unit · Mountain Home, ID

NPI number 1710226451 Active

Practice location

895 N 6th E
Mountain Home, ID 83647-2207

Call (208) 587-8401 Map

Mailing address

PO Box 2777
Boise, ID 83701-2777

Specialties and licenses

Taxonomy	Code	License
Medicare Defined Swing Bed Hospital Unit Primary	275N00000X	05 (ID)

Medicare Defined Swing Bed Hospital Unit: A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

28 other providers at this address

NPI record

NPI: 1710226451
Entity type: Organization (Type 2)
Issued: Jan 31, 2013
Last updated: Apr 23, 2026
Status: Active
Subpart: Yes of ST Lukes Health System Ltd

Other names

<unavail>
ST Lukes Elmore Swing Beds · doing business as
ST Lukes Elmore Swing Beds · doing business as

Authorized official

Kathryn Fowler
Senior VP, CFO
(208) 381-8717

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710226451

ST Lukes Regional Medical Center's National Provider Identifier is 1710226451, issued on Jan 31, 2013. The primary taxonomy on file is Medicare Defined Swing Bed Hospital Unit (275N00000X), and the practice location is in Mountain Home, ID. The record was last updated on Apr 23, 2026.