NPIMap

Organization Active NPI

St Lukes Regional Medical Center

Doing business as St Lukes Cancer Institute - Fruitland

  • Radiation Oncology Clinic/Center
  • Fruitland, ID
National Provider Identifier
1417870882
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
ST LUKES REGIONAL MEDICAL CENTER
Doing business as
St Lukes Cancer Institute - Fruitland
Practice address
1118 NW 16TH St Ste D
Fruitland, ID 83619-2272
Phone
(208) 452-7677
NPI assigned
Aug 3, 2026
Organization subpart
Yes
Parent organization
ST LUKES HEALTH SYSTEM LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacob Paul Reid
Title
PFS Administration; Sr. Director
Phone
(208) 706-7665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X Primary

Addresses

Primary practice location

1118 NW 16TH St Ste D
Fruitland, ID 83619-2272

Mailing address

1118 NW 16TH St Ste D
Fruitland, ID 83619-2272
Phone (208) 452-7677

Other names 1

  • St Lukes Cancer Institute - Fruitland Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2092636St Luke's Cancer Institute-Fruitland1118 NW 16TH St #D, Fruitland, ID 83619Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Reg Medical Center50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

Organizations that report the same tax identification number in the National Provider Directory.

View all 49

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1417870882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 NW 16TH ST STE D",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192272",
            "telephone_number": "208-452-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 NW 16TH ST STE D",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192272",
            "telephone_number": "208-452-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES HEALTH SYSTEM LTD",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PFS ADMINISTRATION; SR. DIRECTOR",
        "authorized_official_telephone_number": "208-706-7665"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Lukes Cancer Institute - Fruitland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fruitland, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.