NPI 1508105248

St Lukes Regional Medical Center

Organisation Skilled Nursing Facility Mountain Home, ID

Practice location

Address: 895 N 6th E, Mountain Home, ID 83647-2207
Phone: (208) 580-2670
Mailing address: PO Box 2777, Boise, ID 83701-2777

Authorised official

Name: Kathryn Fowler
Title: Senior Vp, Cfo
Phone: (208) 381-8717

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence H5 (ID)

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1508105248
Entity type: Organization
NPI issued: 31 Jan 2013
Record last updated: 23 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.