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St Lukes Clinic-Treasure Valley LLC

Family Medicine Physician in Mountain Home, ID · enumerated 2013 · authorized official Kathryn Fowler, Senior Vp, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417297821

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Registry record

Entity type Organization (Type 2)
Legal business name St Lukes Clinic-Treasure Valley LLC
Other name <Unavail>
Parent organization St Lukes Regional Medical Center Ltd
Practice address 840 N 4th E, Mountain Home, ID, 83647
Phone (208) 587-1850
Enumeration date Feb 21, 2013
Last updated in NPPES Apr 23, 2026

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Kathryn Fowler
Title Senior Vp, Cfo
Phone (208) 381-8717

Other identifiers

Identifier Type State Issuer
1369110 Other ID MEDICARE / MULTI SPECIALTY CLINIC
133999 Other ID MEDICARE / RHC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-04-23. Verify at npiregistry.cms.hhs.gov.
Where is St Lukes Clinic-Treasure Valley LLC located?
The practice location on file with NPPES is in Mountain Home, ID.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-23.