ST LUKES CLINIC - WOOD RIVER LLC
NPI 1972891604
Internal Medicine in Ketchum, ID

Q: What is St Lukes Clinic - Wood River LLC's NPI number?

The NPI number for St Lukes Clinic - Wood River LLC is 1972891604. It was assigned to this organization in the NPPES registry on July 15, 2011.

Q: What is St Lukes Clinic - Wood River LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 15, 2011

100 HOSPITAL DRIVE, KETCHUM, ID 83340(208) 727-8100 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2026, Dec 8, 2022, Jun 22, 2016 (3 updates tracked since 2016).

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About St Lukes Clinic - Wood River Llc NPPES

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

ST LUKES CLINIC - WOOD RIVER LLC (NPI 1972891604) is a healthcare organization registered as an internal medicine in Ketchum, Idaho and active in the NPI registry since July 2011. The organization lists Kathryn Fowler, Senior Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1972891604

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameST LUKES CLINIC - WOOD RIVER LLC

Location Address100 HOSPITAL DRIVEKetchum, ID 83340-9999

Mailing AddressPo Box 640Boise, ID 83701-0640 · (208) 381-2222

Phone(208) 727-8100

Organization SubpartYesParent: St Lukes Medical Center Woodriver Ltd

Authorized OfficialKathryn FowlerSenior Vp, Cfo · (208) 381-8717

Enumeration DateJuly 15, 2011

Last NPPES UpdateApril 23, 20263 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1972891604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in ID · 62

Definition

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.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 62 (ID)

Also ListedEmergency MedicineTaxonomy 207P00000X · License 62 (ID)

Also ListedFamily MedicineTaxonomy 207Q00000X · License 62 (ID)

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 62 (ID)

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 62 (ID)

Also ListedUrologyTaxonomy 208800000X · License 62 (ID)

100 HOSPITAL DRIVE, Ketchum, ID 83340

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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

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

ROBBIN WARNER

Physical Therapist

100 HOSPITAL DRIVE
KETCHUM, ID 83340

Blaine County (208) 727-8253

PETER CURRAN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

100 HOSPITAL DRIVE, SUITE 105
KETCHUM, ID 83340

Blaine County (208) 726-0124

DAN S FAIRMAN MD

Internal Medicine

100 HOSPITAL DRIVE
KETCHUM, ID 83340

Blaine County (208) 727-8888

DAVID LAXSON M.D.

Internal Medicine (Cardiovascular Disease)

100 HOSPITAL DRIVE
KETCHUM, ID 83340

Blaine County (208) 727-8710

ST LUKES MEDICAL CENTER WOODRIVER LTD

Home Health

100 HOSPITAL DRIVE
KETCHUM, ID 83340

Blaine County (208) 788-2222

TRACEY L BUSBY M.D.

Family Medicine

100 HOSPITAL DRIVE, SUITE 105
KETCHUM, ID 83340

Blaine County (208) 622-8811

JULIA ANN WATSON NP

Nurse Practitioner (Women's Health)

100 HOSPITAL DRIVE, SUITE 105
KETCHUM, ID 83340

Blaine County (208) 622-8811

ST LUKE'S MEDICAL CENTER WOOD RIVER LTD

General Acute Care Hospital (Critical Access)

100 HOSPITAL DRIVE
KETCHUM, ID 83340

Blaine County (208) 788-2222

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 Clinic - Wood River LLC's NPI number?

The NPI number for St Lukes Clinic - Wood River LLC is 1972891604. It was assigned to this organization in the NPPES registry on July 15, 2011.

Where is St Lukes Clinic - Wood River LLC located?

St Lukes Clinic - Wood River LLC is located at 100 Hospital Drive, Ketchum, ID 83340. The listed phone number is (208) 727-8100.

What is St Lukes Clinic - Wood River LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does St Lukes Clinic - Wood River LLC accept?

Health plans from Moda Health Plan, Inc. list St Lukes Clinic - Wood River 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 Lukes Clinic - Wood River LLC was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.