St Lukes West LTD
Organization Active NPI General Acute Care Hospital · Nampa, ID
NPI 1831590660 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1831590660
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- ST LUKES WEST LTD
- Practice address
- 9850 W St Lukes Dr
Nampa, ID 83687-7912 - Phone
- (208) 505-2000
- NPI assigned
- Sep 11, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- ST LUKES HEALTH SYSTEM LTD
Authorized official
- Name
- Kathryn Fowler
- Title
- Senior VP, Cfo
- Phone
- (208) 381-8717
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 1
-
Laura A McGeorge, MD
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Facilities with the same owner 19
Practitioners 8
-
Jennifer T Shalz, MD
-
Justin Bruner, D.O.
-
Kathryn M Crookham, PT, DPT
Affiliated clinicians 1,058
-
Daniel Clark Abenroth, M.D.
-
Donald E Adams, MD
-
John T. Ader, DO-RHEUMATOLOGY
-
Nichole Aker, DO
-
Brian David Allen, CRNA
-
Ginger A. Allen, MD
-
Amanda Aman, MD
-
Amy M Ambrosier, PA-C
-
Noel Anderson, PA-C
-
Riley Paige Anderson, PA-C
-
Aya Andrews, NP
-
David Mark Arnstam, CRNA
Medicare Care Compare: Hospital
- Listed as
- St Luke'S Nampa Medical Center
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in ID
Hospital certification: CCN 130071
- Legal name
- ST LUKES NAMPA MEDICAL CENTER LTD
- Doing business as
- ST LUKES NAMPA MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Dec 7, 2017
- Last certification
- Dec 7, 2017
- Beds
- 87
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 12, 2017 in ID
- Enrollment address
- 9850 W St Lukes Dr
Nampa, ID 83687-7912 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Laura a McGeorge |
Corporate Director |
Nov 1, 2024 | |
| Lisa Grow |
Corporate Director |
Oct 1, 2018 | |
| Emily Baker |
Corporate Director |
Oct 1, 2021 | |
| Robert Lokken |
Corporate Director |
Oct 1, 2018 | |
| Andrew Scoggin |
Corporate Director |
Oct 1, 2018 | |
| Richard Raimondi |
Corporate Director |
Oct 1, 2018 | |
| Daniel Krahn |
Corporate Director |
Oct 1, 2018 | |
| St Lukes Health System LTD |
5% Or Greater Direct Ownership Interest | Aug 1, 2017 | 100% |
| Jared Grant |
Corporate Officer |
Jan 19, 2023 | |
| W-2 Managing Employee |
Jan 19, 2023 | ||
| Jacob Reid |
Corporate Officer |
Sep 1, 2023 | |
| W-2 Managing Employee |
Sep 1, 2023 | ||
| Kathryn Fowler |
Corporate Officer |
Feb 1, 2021 | |
| Corporate Director |
Feb 1, 2021 | ||
| W-2 Managing Employee |
Feb 1, 2021 | ||
| Rosa Davila |
Corporate Director |
Sep 1, 2021 | |
| William Gilbert |
Corporate Director |
Nov 1, 2024 | |
| William Whitacre |
Corporate Director |
Oct 1, 2018 | |
| Christopher Roth |
Corporate Officer |
Jan 31, 2020 | |
| Corporate Director |
Jan 31, 2020 | ||
| W-2 Managing Employee |
Oct 1, 2015 | ||
| Jill Twedt |
Corporate Director |
Nov 1, 2024 | |
| Thomas K Corrick |
Corporate Director |
Oct 1, 2018 | |
| William Ystueta Jr |
Corporate Director |
Nov 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171010000232 | ID | Part a Provider - Hospital | 6204101785 | Practice locations: Nampa, ID |
| O20210929001011 | ID | Part B Supplier - Pharmacy | 6204101785 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Nampa, ID |
| O20260323003175 | ID | Part B Supplier - Intensive Cardiac Rehabilitation | 6204101785 |
Receives reassigned benefits from 1 practitioner Practice locations: Nampa, ID |
National Provider Directory
- Part of
- St Luke'S Children'S
Locations
9850 W St Lukes Dr
Ste 290
Nampa, ID 83687
Phone (208) 463-7300
9850 W St Lukes Dr
Ste 280
Nampa, ID 83687
Phone (208) 323-3767
9850 W St Lukes Dr
Ste 170
Nampa, ID 83687
Phone (208) 205-7485
9850 W St Lukes Dr
Ste 320
Nampa, ID 83687
Phone (208) 505-2222
9850 W St Lukes Dr
Ste 180
Nampa, ID 83687
9850 W St Lukes Dr
Ste 233
Nampa, ID 83687
Phone (208) 505-2000
9850 W St Lukes Dr
Ste 250
Nampa, ID 83687
Phone (208) 505-2239
9850 W St Lukes Dr
Ste 160
Nampa, ID 83687
Phone (208) 205-7810
9850 W St Lukes Dr
Ste 320A
Nampa, ID 83687
Phone (208) 323-3767
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
9850 W St Lukes Dr
Nampa, ID 83687-7912
Mailing address
PO Box 2777
Boise, ID 83701-2777
Other names
- St Lukes Nampa Medical Center
- ST LUKES NAMPA MEDICAL CENTER LTD
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Other providers in Nampa, ID
- St Lukes Regional Medical Center
- St Lukes Regional Medical Center
- St Lukes Regional Medical Center
- St Lukes Regional Medical Center
- St Lukes West LTD
- Stages Mental Health, PLLC
- Craig Stagg
- Judy Ann Stallcop
- Lindsay Stallings
- Robert Andrei Stanciu
All providers in Nampa, ID · General Acute Care Hospital in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.