ST LUKE'S CLINIC LLC
NPI 1790718229
Family Medicine in Twin Falls, ID

Active since July 08, 2006CLIA Certified · 2 labs
775 POLE LINE RD W, TWIN FALLS, ID 83301(208) 814-1000 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2026, Dec 8, 2022, Dec 16, 2019 and 4 more (7 updates tracked since 2016).

About St Luke's Clinic Llc NPPES

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

ST LUKE'S CLINIC LLC (NPI 1790718229), doing business as St Lukes Clinic - Magic Valley/jerome, is a healthcare organization registered as a family medicine in Twin Falls, Idaho and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Jerome, and lists Kathryn Fowler, Senior Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790718229
Entity TypeOrganization
Primary Taxonomy207Q00000X
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
Organization SubpartYesParent: St Lukes Magic Valley Regional Medical Center Ltd
Authorized OfficialKathryn FowlerSenior Vp, Cfo · (208) 381-8717
Enumeration DateJuly 8, 2006
Last NPPES UpdateApril 23, 20267 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1790718229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
Also ListedSurgeryTaxonomy 208600000X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
775 POLE LINE RD W, Twin Falls, ID 83301

Other Names 2

Doing Business AsSt Lukes Clinic - Magic Valley/jerome
Doing Business AsSt Lukes Jerome Rhc

Secondary Practice Location 1

Location 1132 5th Ave W Ste 1/2Jerome, ID 83338-1825 · Phone (208) 814-9800

Other Identifiers 4

Medicaid806593000ID
Other1257846ID · Medicare - Clinic
Other133992ID · Medicare - Rhc
OtherDA1879ID · Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 13D2172039

St Luke's Clinic Jerome Family Medicine · Jerome, ID
Active · expires Sep 12, 2027
CLIA Number13D2172039
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorCatherine Doyle
Laboratory Phone(208) 814-9800
Laboratory LocationSt Luke's Clinic Jerome Family Medicine132 5th Ave West, Jerome, ID 83338
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 13D2173899

St Luke's Clinic-Occupational Health · Jerome, ID
Active · expires Oct 21, 2027
CLIA Number13D2173899
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorBrian Johns
Laboratory Phone(208) 814-9840
Laboratory LocationSt Luke's Clinic-Occupational Health115 5th Ave W, Jerome, ID 83338
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.

Pediatrics
775 POLE LINE RD W, SUITE 111
TWIN FALLS, ID 83301
Surgery
775 POLE LINE RD W, SUITE 212
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
Family Medicine
775 POLE LINE RD W
TWIN FALLS, ID 83301
Family Medicine
775 POLE LINE RD W, SUITE 105
TWIN FALLS, ID 83301
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Family Medicine
775 POLE LINE RD W, SUITE 105 & 111
TWIN FALLS, ID 83301

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 1790718229. It was assigned to this organization in the NPPES registry on July 8, 2006. The provider is doing business as St Lukes Clinic - Magic Valley/Jerome and St Lukes Jerome RHC.

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 Family Medicine with taxonomy code 207Q00000X.

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

Yes. 2 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.

What insurance does St Luke's Clinic LLC accept?

Health plans from Moda Health Plan, Inc. list St Luke's Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Luke's Clinic LLC was last updated on April 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.