Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St Luke's Clinic LLC

Organization Family Medicine Physician · NPI 1790718229

St Luke's Clinic LLC is a Family Medicine Physician in Twin Falls, Idaho. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

775 Pole Line Rd W
Twin Falls, ID 83301-5814
Phone: (208) 814-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 132 5th Ave W Ste 1/2, Jerome, ID 83338-1825 — (208) 814-9800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Nephrology Physician Taxonomy 207RN0300X
Pediatrics Physician Taxonomy 208000000X
Occupational Medicine Physician Taxonomy 2083X0100X
Surgery Physician Taxonomy 208600000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1790718229
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Lukes Magic Valley Regional Medical Center Ltd
Authorized official Kathryn Fowler — Senior Vp, Cfo · (208) 381-8717
Other names St Lukes Clinic - Magic Valley/Jerome; St Lukes Jerome Rhc
NPI enumeratedJuly 8, 2006
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing addressPo Box 640, Boise, ID 83701-0640

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