ST. LUKE'S CANYON VIEW
NPI 1417330119
Psychiatric Unit in Twin Falls, ID

NPI Status: Active since June 30, 2015

Contact Information

228 SHOUP AVE W
TWIN FALLS, ID
ZIP 83301
Phone: (208) 814-7900

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  • Organization
  • Psychiatric Unit
  • CLIA Number: 13D0917174
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 02-10-2028

About ST. LUKE'S CANYON VIEW

This page provides the complete NPI Profile along with additional information for St. Luke's Canyon View, a provider established in Twin Falls, Idaho operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1417330119 assigned on June 2015. The practitioner's primary taxonomy code is 273R00000X with license number 33030 (ID). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is William Fullmer Rn, Ma (Director)

NPI
1417330119
Provider Name
ST. LUKE'S CANYON VIEW
Entity Type
Organization
Location Address
228 SHOUP AVE W TWIN FALLS, ID 83301
Location Phone
(208) 814-7900
Mailing Address
228 SHOUP AVE W TWIN FALLS, ID 83301
Mailing Phone
(208) 814-7900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2015
Last Update Date
06-30-2015
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 10-01-2007 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

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

Psychiatric Unit

Taxonomy Code
273R00000X
Type
Hospital Units
License No.
33030
License State
ID
Taxonomy Description
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

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

WILLIAM FULLMER RN, MA

Authorized Official Title
DIRECTOR
Authorized Official Phone
(208) 814-7906

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • ST. LUKE'S CANYON VIEW has an ownership type of Non-profit
  • The facility received it's medicare certification date on 10-01-2007
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions17
Brain disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Brain injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Hip or femur fracture14
Hip or knee replacement, amputation or other bone or joint condition37
Nervous system disorder (excluding stroke)11
Spinal cord disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Spinal cord injury (traumatic)Not Available - Data not available for this reporting period.
Stroke53

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
13D0917174
Facility Type
Other
Certificate Effective Date
February 11, 2026
Certificate Expiration Date
February 10, 2028
Laboratory Director
MARK MURPHY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Luke's Canyon View 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 1417330119, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 6 + 3 + 0 + 1 + 2 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1417330119.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Psychologist
228 SHOUP AVE W
TWIN FALLS, ID 83301
Counselor (Professional)
228 SHOUP AVE W
TWIN FALLS, ID 83301
Counselor
228 SHOUP AVE W
TWIN FALLS, ID 83301
Nurse Practitioner (Psychiatric/Mental Health)
228 SHOUP AVE W
TWIN FALLS, ID 83301
Psychiatry & Neurology (Psychiatry)
228 SHOUP AVE W
TWIN FALLS, ID 83301
Psychiatry & Neurology (Psychiatry)
228 SHOUP AVE W
TWIN FALLS, ID 83301
Social Worker (Clinical)
228 SHOUP AVE W
TWIN FALLS, ID 83301
Psychiatry & Neurology (Psychiatry)
228 SHOUP AVE W
TWIN FALLS, ID 83301
Psychiatric Unit
228 SHOUP AVE W
TWIN FALLS, ID 83301
Social Worker
228 SHOUP AVE W
TWIN FALLS, ID 83301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417330119, enumerated as an "organization" on June 30, 2015.

The provider is located at 228 SHOUP AVE W TWIN FALLS, ID 83301 and the phone number is (208) 814-7900.

Psychiatric Unit with taxonomy code 273R00000X.