St Lukes Clinic - Wood River LLC
St Lukes Clinic - Wood River LLC is an Anesthesiology Physician in Ketchum, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
- Specialties on file
- 7
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
100 Hospital DrKetchum, ID 83340-9999
Phone: (208) 727-8100
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 62 (ID) |
|---|---|
| Anesthesiology Physician | Taxonomy 207L00000X · Licence 62 (ID) |
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 62 (ID) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 62 (ID) |
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X · Licence 62 (ID) |
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence 62 (ID) |
| Urology Physician | Taxonomy 208800000X · Licence 62 (ID) |
Record details
| NPI number | 1972891604 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Lukes Medical Center Woodriver Ltd |
| Authorized official | Kathryn Fowler — Senior Vp, Cfo · (208) 381-8717 |
| NPI enumerated | July 15, 2011 |
| Last updated in NPPES | April 23, 2026 |
| Certification date | April 23, 2026 |
| Mailing address | Po Box 640, Boise, ID 83701-0640 |
Other providers in Ketchum
-
St Lukes Medical Center Woodriver
100 Hospital Dr, Ketchum, ID 83340 · (208) 788-2222
-
Albert R Trearse, MD
100 Hospital Dr, Ketchum, ID 83340 · (208) 727-8800
-
Dr. Harald J.a. Wiedemann, MD
114 Deer Run Rd, Ketchum, ID 83340-2290 · (208) 726-5592