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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ST LUKES REGIONAL MEDICAL CENTER
NPI 1417870882
Clinic/Center - Oncology, Radiation in Fruitland, ID

Active since August 03, 2026
1118 NW 16TH ST STE D, FRUITLAND, ID 83619(208) 452-7677 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Lukes Regional Medical Center NPPES

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

ST LUKES REGIONAL MEDICAL CENTER (NPI 1417870882), doing business as St Lukes Cancer Institute - Fruitland, is a healthcare organization registered as an oncology, radiation in Fruitland, Idaho and active in the NPI registry since August 2026. The organization lists Jacob Paul Reid, Pfs Administration; Sr. Director, as its authorized official.

NPPES Registry Identity

NPI1417870882
Entity TypeOrganization
Primary Taxonomy261QX0203X
Legal Business NameST LUKES REGIONAL MEDICAL CENTER
Location Address1118 NW 16TH ST STE DFruitland, ID 83619-2272
Mailing Address1118 Nw 16th St Ste DFruitland, ID 83619-2272 · (208) 452-7677
Phone(208) 452-7677
Organization SubpartYesParent: St Lukes Health System Ltd
Authorized OfficialJacob Paul ReidPfs Administration; Sr. Director · (208) 706-7665
Enumeration DateAugust 3, 2026
NPPES CertifiedAugust 3, 2026
✔ NPI 1417870882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oncology, RadiationAmbulatory Health Care Facilities
Taxonomy Code261QX0203X
1118 NW 16TH ST STE D, Fruitland, ID 83619
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Other Names 1

Doing Business AsSt Lukes Cancer Institute - Fruitland

Other Providers at the Same Location NPPES 5

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

CAMI LYNN BLACKBURN LMSW
Social Worker (Clinical)
1118 NW 16TH ST STE D
FRUITLAND, ID 83619
Payette County (208) 452-7677
ADAM ROBERT KRAMER PHARMD
Pharmacist
1118 NW 16TH ST STE D
FRUITLAND, ID 83619
Payette County (208) 452-8698
MAXFIELD ROY LAWRENCE PA-C
Physician Assistant
1118 NW 16TH ST STE D
FRUITLAND, ID 83619
Payette County (208) 452-7677
KIMBERLY SCHULTHEISS RPH
Pharmacist (Oncology)
1118 NW 16TH ST STE D
FRUITLAND, ID 83619
Payette County (205) 452-8698
AMANDA BOLIN FNP-C
Nurse Practitioner (Family)
1118 NW 16TH ST STE D
FRUITLAND, ID 83619
Payette County (208) 452-7677

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 Lukes Regional Medical Center's NPI number?

The NPI number for St Lukes Regional Medical Center is 1417870882. It was assigned to this organization in the NPPES registry on August 3, 2026. The provider is doing business as St Lukes Cancer Institute - Fruitland.

Where is St Lukes Regional Medical Center located?

St Lukes Regional Medical Center is located at 1118 NW 16th St Ste D, Fruitland, ID 83619. The listed phone number is (208) 452-7677.

What is St Lukes Regional Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, Radiation, with taxonomy code 261QX0203X.

When was this NPI record last updated?

The NPPES record for St Lukes Regional Medical Center was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.