St Lukes Clinic LLC
Doing business as St Luke's Clinic Jerome Family Medicine
Rural health clinic in Jerome, ID, Medicare certification number 133992.
Medicare certification
Provider of Services- CCN
- 133992
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 2B
- Participating since
- Nov 3, 1999
- Last certification
- Feb 19, 2004
- Most recent change of ownership
- Oct 1, 2013 (1 total)
- Address
- 132 5TH Avenue West
Jerome, ID 83338
(208) 324-5286
NPI records for this facility (CCN to NPI Mapping) 1
-
dba St Lukes Clinic - Magic Valley/Jerome
- Family Medicine Physician
- Twin Falls, ID
- NPI 1790718229
Medicare enrollment
Other rural health clinics in Jerome, ID
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.