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ST LUKE'S JEROME FAMILY MEDICINE
NPI 1407283443
Clinic/Center - Rural Health in Twin Falls, ID

Active since October 05, 2013CLIA Certified · 6 labs
775 POLE LINE RD W, TWIN FALLS, ID 83301(208) 814-1000 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St Luke's Jerome Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST LUKE'S JEROME FAMILY MEDICINE (NPI 1407283443) is a healthcare organization registered as a rural health in Twin Falls, Idaho and active in the NPI registry since October 2013. The organization holds 6 active CLIA laboratory certificates and lists Jeff Taylor, Sr Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1407283443
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST LUKE'S CLINIC, LLC
Location Address775 POLE LINE RD WTwin Falls, ID 83301-5814
Mailing AddressPo Box 640Boise, ID 83701-0640 · (208) 706-5000
Phone(208) 814-1000
Organization SubpartNo
Authorized OfficialJeff TaylorSr Vp/cfo · (208) 381-2520
Enumeration DateOctober 5, 2013
Last NPPES UpdateSeptember 29, 2016
✔ NPI 1407283443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
775 POLE LINE RD W, Twin Falls, ID 83301
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Other Names 1

Doing Business AsSt Luke's Jerome Family Medicine

Other Identifiers 1

Medicare OSCAR/certification1372609ID

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2159368

St Luke's Clinic-Urology Magic Valley · Twin Falls, ID
Active · expires Aug 5, 2026
CLIA Number13D2159368
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 6, 2024
Certificate Expiration DateAugust 5, 2026
Laboratory DirectorEdward J. Martinez
Laboratory Phone(208) 814-8700
Laboratory LocationSt Luke's Clinic-Urology Magic Valley775 Pole Line Rd W Ste 301, Twin Falls, ID 83301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2264456

St Luke's Clinic-Occupational Health Twin Falls · Twin Falls, ID
Active · expires Jul 13, 2028
CLIA Number13D2264456
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorBrian Johns
Laboratory Phone(208) 814-8100
Laboratory LocationSt Luke's Clinic-Occupational Health Twin Falls625 Pole Line Rd W Ste 1B, Twin Falls, ID 83301
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 13D2060605

St Luke's Clinic Dermatology & Mohs Surgery · Twin Falls, ID
Active · expires Dec 1, 2027
CLIA Number13D2060605
Laboratory TypeDerm Mohs Lab
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorDr. Kurtis Reed
Laboratory Phone(208) 814-7180
Laboratory LocationSt Luke's Clinic Dermatology & Mohs Surgery714 N College Rd Ste B (rome Building), Twin Falls, ID 83301
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 13D2284612

St Luke's Clinic Pain Management · Twin Falls, ID
Active · expires Jun 26, 2027
CLIA Number13D2284612
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorMichael R. Mcentire
Laboratory Phone(208) 814-8725
Laboratory LocationSt Luke's Clinic Pain Management625 Pole Line Rd West Ste 1a-2, Twin Falls, ID 83301
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D1097363

St Luke's Clinic Renaissance · Twin Falls, ID
Active · expires Mar 24, 2027
CLIA Number13D1097363
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorJennifer Preucil
Laboratory Phone(208) 933-4619
Laboratory LocationSt Luke's Clinic Renaissance730 N College Rd, Twin Falls, ID 83301
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D1058228

St Luke's Clinic - Addison Campus · Twin Falls, ID
Active · expires Aug 31, 2026
CLIA Number13D1058228
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorThomas J. Steidler
Laboratory Phone(208) 814-0326
Laboratory LocationSt Luke's Clinic - Addison Campus2550 Addison Ave Ste A, B, E & F, Twin Falls, ID 83301
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL G PREUCIL M.D.
Family Medicine
775 POLE LINE RD W, SUITE 105
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8000
DOUGLAS L STAGG M.D.
Preventive Medicine (Occupational Medicine)
775 POLE LINE RD W, SUITE 101
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8100
DENNIS R SAWYER P.A.-C
Physician Assistant
775 POLE LINE RD W, SUITE 112
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8200
DR. RONALD WILLIAM BLAIR D.O.
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8400
HEATHER MERTEN KOHRING FNP-C
Nurse Practitioner
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8300
DAVID JOHNSON, M.D., P. A.
Surgery (Vascular Surgery)
775 POLE LINE RD W, SUITE 213
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8475
BLUE LAKES GASTROENTEROLOGY, PLLC
Internal Medicine (Gastroenterology)
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8300
BRUCE C MCCOMAS, M. D., P. A.
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Luke's Clinic, LLC's NPI number?

The NPI number for St Luke's Clinic, LLC is 1407283443. It was assigned to this organization in the NPPES registry on October 5, 2013. The provider is doing business as St Luke's Jerome Family Medicine.

Where is St Luke's Clinic, LLC located?

St Luke's Clinic, LLC is located at 775 Pole Line Rd W, Twin Falls, ID 83301. The listed phone number is (208) 814-1000.

What is St Luke's Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does St Luke's Clinic, LLC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for St Luke's Clinic, LLC was last updated on September 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.