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St Lukes Wood River Medical Center Ltd
Medicare Defined Swing Bed Hospital Unit in Ketchum, Idaho
NPI 1275662546

St Lukes Wood River Medical Center Ltd is a Medicare Defined Swing Bed Hospital Unit based in Boise, ID. St Lukes Wood River Medical Center Ltd practices in Ketchum, ID. The NPI Number for St Lukes Wood River Medical Center Ltd is 1275662546 and holds a License No. 62 (Idaho).

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

Location: 100 Hospital Dr, Ketchum, ID, 83701-2777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275662546
Provider Name
St Lukes Wood River Medical Center Ltd
Credential
Provider Entity Type
Organization
Address
100 Hospital Dr, Ketchum, ID, 83701-2777
Phone Number
208-788-2222
Fax Number
Provider Enumeration Date
03/05/2007
Last Update Date
03/12/2024
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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 Dr
City
Ketchum
State
Idaho
Zip
83340-9998
Phone Number
208-788-2222
Fax Number
person
Provider Business Mailing Address Details
Address
100 Hospital Dr
City
Ketchum
State
Idaho
Zip
83340-9998
Phone Number
208-788-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Medicare Defined Swing Bed Unit
Speciality
-
Taxonomy
275N00000X
License No.
62 (Idaho)
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
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