Internal Medicine
ST LUKES CLINIC - WOOD RIVER LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1972891604 · enumerated 2011-07-15 · record updated 2026-04-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KATHRYN FOWLER, SENIOR VP, CFO · (208) 381-8717
Addresses and phones
- Mailing address PO BOX 640, BOISE, ID, 83701-0640 (208) 381-2222 Google Maps Apple Maps OpenStreetMap
- Practice location 100 HOSPITAL DRIVE, KETCHUM, ID, 83340-9999 (208) 727-8100 Google Maps Apple Maps OpenStreetMap
Specialties
- Obstetrics & Gynecology 207V00000X · License 62 ID
- Anesthesiology 207L00000X · License 62 ID
- Family Medicine 207Q00000X · License 62 ID
- Orthopaedic Surgery 207X00000X · License 62 ID
- Emergency Medicine 207P00000X · License 62 ID
- Urology 208800000X · License 62 ID
- Internal Medicine 207R00000X · Primary · License 62 ID
Published links
In this directory
Locations and evidence
-
Practice location
KETCHUM, ID, 833409999
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.