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St Lukes Medical Center Woodriver Ltd
Home Health Agency in Ketchum, Idaho
NPI 1093844367

St Lukes Medical Center Woodriver Ltd is a Home Health Agency based in Boise, ID. St Lukes Medical Center Woodriver Ltd practices in Ketchum, ID. The NPI Number for St Lukes Medical Center Woodriver Ltd is 1093844367 and holds a License No. 62 (Idaho).

The current practice location address for St Lukes Medical Center Woodriver Ltd is 100 Hospital Drive, Ketchum, ID and can be reached out via phone at 208-788-2222.

Location: 100 Hospital Drive, Ketchum, ID, 83701-1098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093844367
Provider Name
St Lukes Medical Center Woodriver Ltd
Credential
Provider Entity Type
Organization
Address
100 Hospital Drive, Ketchum, ID, 83701-1098
Phone Number
208-788-2222
Fax Number
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
62 01 ID STATE LIC #
institution
Provider Business Practice Location Address Details
Address
100 Hospital Drive
City
Ketchum
State
Idaho
Zip
83340
Phone Number
208-788-2222
Fax Number
person
Provider Business Mailing Address Details
Address
100 Hospital Drive
City
Ketchum
State
Idaho
Zip
83340
Phone Number
208-788-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
62 (Idaho)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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