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St Lukes Clinic - Wood River LLC

Internal Medicine Physician in Ketchum, ID · enumerated 2011 · authorized official Kathryn Fowler, Senior Vp, Cfo.

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

National Provider Identifier

1972891604

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Registry record

Entity type Organization (Type 2)
Legal business name St Lukes Clinic - Wood River LLC
Parent organization St Lukes Medical Center Woodriver Ltd
Practice address 100 Hospital Drive, Ketchum, ID, 83340
Phone (208) 727-8100
Enumeration date Jul 15, 2011
Last updated in NPPES Apr 23, 2026

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 62 (ID) Secondary
207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 62 (ID) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 62 (ID) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 62 (ID) Primary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 62 (ID) Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 62 (ID) Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians · License 62 (ID) Secondary

Authorized official

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

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is St Lukes Clinic - Wood River LLC?
St Lukes Clinic - Wood River LLC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

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