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

NPI Status: Active since October 05, 2013

Contact Information

775 POLE LINE RD W
TWIN FALLS, ID
ZIP 83301
Phone: (208) 814-1000

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 13D1058228
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 08-31-2026

About ST LUKE'S JEROME FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for St Luke's Jerome Family Medicine, a primary care provider established in Twin Falls, Idaho operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1407283443 assigned on October 2013. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as St Luke's Jerome Family Medicine. The authorized official of this NPI record is Jeff Taylor (Sr Vp/cfo)

NPI
1407283443
Provider Legal Name
ST LUKE'S CLINIC, LLC
Other Organization Name
ST LUKE'S JEROME FAMILY MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
775 POLE LINE RD W TWIN FALLS, ID 83301
Location Phone
(208) 814-1000
Mailing Address
PO BOX 640 BOISE, ID 83701
Mailing Phone
(208) 706-5000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2013
Last Update Date
09-29-2016
Code Navigator

A primary care provider (PCP) like St Luke's Jerome Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFF TAYLOR

Authorized Official Title
SR VP/CFO
Authorized Official Phone
(208) 381-2520

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1372609MEDICARE OSCAR/CERTIFICATION (06)ID 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D1058228
Facility Type
Community Clinic
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
THOMAS J. STEIDLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St Luke's Jerome Family Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407283443, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 4 + 8 + 6 + 4 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1407283443.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
775 POLE LINE RD W, SUITE 105
TWIN FALLS, ID 83301
Preventive Medicine (Occupational Medicine)
775 POLE LINE RD W, SUITE 101
TWIN FALLS, ID 83301
Physician Assistant
775 POLE LINE RD W, SUITE 112
TWIN FALLS, ID 83301
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Nurse Practitioner
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Surgery (Vascular Surgery)
775 POLE LINE RD W, SUITE 213
TWIN FALLS, ID 83301
Internal Medicine (Gastroenterology)
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Internal Medicine (Rheumatology)
775 POLE LINE RD W, SUITE 115
TWIN FALLS, ID 83301
Family Medicine
775 POLE LINE RD W, SUITES 105 & 111
TWIN FALLS, ID 83301
Nurse Practitioner
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Family Medicine
775 POLE LINE RD W, SUITE 105 & 111
TWIN FALLS, ID 83301
Physician Assistant
775 POLE LINE RD W, SUITE 115
TWIN FALLS, ID 83301
Physical Therapist
775 POLE LINE RD W, SUITE 307
TWIN FALLS, ID 83301
Internal Medicine
775 POLE LINE RD W, SUITE 302
TWIN FALLS, ID 83301
Internal Medicine
775 POLE LINE RD W, SUITE 302
TWIN FALLS, ID 83301
Internal Medicine (Gastroenterology)
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Internal Medicine (Cardiovascular Disease)
775 POLE LINE RD W, SUITE 112
TWIN FALLS, ID 83301
Surgery
775 POLE LINE RD W, SUITE 214
TWIN FALLS, ID 83301
Internal Medicine
775 POLE LINE RD W, SUITE 312
TWIN FALLS, ID 83301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407283443, enumerated as an "organization" on October 05, 2013.

The provider is located at 775 POLE LINE RD W TWIN FALLS, ID 83301 and the phone number is (208) 814-1000.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.