ST LUKES CLINIC - WOOD RIVER LLC
NPI 1972891604
Internal Medicine in Ketchum, ID
NPI Status: Active since July 15, 2011
Contact Information
100 HOSPITAL DRIVE
KETCHUM, ID
ZIP 83340
Phone: (208) 727-8100
- Organization
- Internal Medicine
- Accepts Insurance
About ST LUKES CLINIC - WOOD RIVER LLC
This page provides the complete NPI Profile along with additional information for St Lukes Clinic - Wood River Llc, an internist established in Ketchum, Idaho operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1972891604 assigned on July 2011. The practitioner's primary taxonomy code is 207R00000X with license number 62 (ID). The provider is registered as an organization and their NPI record was last updated April 2026. St Lukes Clinic - Wood River Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kathryn Fowler (Senior Vp, Cfo)
- NPI
- 1972891604
- Provider Name
- ST LUKES CLINIC - WOOD RIVER LLC
- Entity Type
- Organization
- Location Address
- 100 HOSPITAL DRIVE KETCHUM, ID 83340
- Location Phone
- (208) 727-8100
- Mailing Address
- PO BOX 640 BOISE, ID 83701
- Mailing Phone
- (208) 381-2222
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-15-2011
- Last Update Date
- 04-23-2026
- Code Navigator
An internist like St Lukes Clinic - Wood River Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 62
- License State
- ID
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | 62 (ID) |
| 2 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 62 (ID) |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 62 (ID) |
| 4 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 62 (ID) |
| 5 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 62 (ID) |
| 6 | 208800000X | Allopathic & Osteopathic Physicians | Urology | 62 (ID) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 1972891604, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
KETCHUM, ID 83340
KETCHUM, ID 83340
KETCHUM, ID 83340
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972891604, enumerated as an "organization" on July 15, 2011.
The provider is located at 100 HOSPITAL DRIVE KETCHUM, ID 83340 and the phone number is (208) 727-8100.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.
