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

St Lukes Clinic-Treasure Valley LLC

Organization Family Medicine Physician · NPI 1417297821

St Lukes Clinic-Treasure Valley LLC is a Family Medicine Physician in Mountain Home, Idaho. Works from 2 locations. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

840 N 4th E
Mountain Home, ID 83647-2166
Phone: (208) 587-1850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 465 McKenna Dr, Mountain Home, ID 83647-2143 — (208) 587-9703

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1417297821
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Lukes Regional Medical Center Ltd
Authorized official Kathryn Fowler — Senior Vp, Cfo · (208) 381-8717
Other names St Lukes Rhc - Trinity Mountain; St Lukes Clinic - Trinity Mountain
NPI enumeratedFebruary 21, 2013
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing addressPo Box 640, Boise, ID 83701-0640

Other providers in Mountain Home