NPIMap

Organization Active NPI

St. Luke's Magic Valley Regional Medical Center, LTD.

Doing business as St Lukes Magic Valley - Air Ambulance

  • General Acute Care Hospital
  • Twin Falls, ID
National Provider Identifier
1932154705
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
14 Issued in ID
Legal business name
ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER, LTD.
Doing business as
St Lukes Magic Valley - Air Ambulance
St Lukes Magic Valley Medical Center
Practice address
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone
(208) 814-1000
NPI assigned
May 23, 2006
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKES HEALTH SYSTEM LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 14 ID Primary
Ambulance 341600000X ID
Air Ambulance 3416A0800X

Addresses

Primary practice location

801 Pole Line Rd W
Twin Falls, ID 83301-5810

Mailing address

PO Box 2777
Boise, ID 83701-2777
Phone (208) 706-5000

Other names 2

  • St Lukes Magic Valley - Air Ambulance Doing business as
  • St Lukes Magic Valley Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20060626000256 ID Part A Provider - Hospital 4880606326
O20070822000770 ID Part A Provider - Hospital 4880606326 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Twin Falls, ID
O20260330000376 ID Part B Supplier - Intensive Cardiac Rehabilitation 4880606326 Receives reassigned benefits from 1 practitioner
Practice locations: Twin Falls, ID

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1932154705. Details of each certification follow.

Hospital certification: CCN 130002

Legal name
ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 25, 2009
Beds
226
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2006 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Mar 13, 2006 in ID
Enrollment address
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 13T002

Legal name
ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
Doing business as
ST LUKE'S INPATIENT REHABILITATION UNIT
Organization structure
CorporationNon-profit
Incorporated
Mar 13, 2006 in ID
Enrollment address
775 Pole Line Rd W
Ste 307
Twin Falls, ID 83301-5823
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
St Lukes Magic Valley Medical CenterCCN 130002 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
St. Luke's Magic Valley Regional Medical CenterCCN 13T002 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 2007

National Provider Directory

National Provider Directory
Part of
St Luke's Children's

Locations

801 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Durmot Mark Durcan Individual Corporate DirectorAt-Large, Board Member Oct 1, 2018
Lisa Grow Individual Corporate DirectorAt-Large, Board Member Oct 1, 2018
Emily Baker Individual Corporate DirectorAt-Large, Board Member Nov 1, 2021
Corporate DirectorBoard Member Nov 1, 2021
Allan Korn Individual Corporate DirectorAt-Large, Board Member Oct 1, 2018
Robert Lokken Individual Corporate DirectorAt-Large, Board Member Oct 1, 2018
Andrew Scoggin Individual Corporate DirectorAt-Large, Board Member Oct 1, 2018
Richard Raimondi Individual Corporate DirectorAt-Large, Chairman Oct 1, 2018
Lucie a Dimaggio Individual Corporate DirectorAt-Large, Board Member Oct 1, 2018
Daniel Krahn Individual Corporate DirectorAt-Large, Board Member Oct 1, 2018
St Lukes Health System LTD Organization, Boise, ID Corporation 5% Or Greater Direct Ownership Interest Jul 1, 2006 100%
Operational/Managerial Control Jul 1, 2006
5% Or Greater Indirect Ownership Interest Aug 27, 2007 100%
Jared Grant Individual Corporate OfficerSystem Controller & Treasurer Jan 19, 2023
W-2 Managing EmployeeSystem Controller & Treasurer Jan 19, 2023
Jacob Reid Individual Corporate OfficerPFM Administrator Sep 1, 2023
W-2 Managing EmployeePFM Administrator Sep 1, 2023
Kathryn Fowler Individual Corporate OfficerVP Operational Finance Feb 1, 2021
W-2 Managing EmployeeVP Operational Finance Feb 1, 2021
Corporate DirectorVP Operational Finance Feb 1, 2021
Rosa Davila Individual Corporate DirectorAt-Large, Board Member Sep 30, 2021
Corporate DirectorBoard Member Sep 1, 2021
William Gilbert Individual Corporate DirectorAt-Large, Board Member Nov 1, 2022
Corporate DirectorBoard Member Nov 1, 2022
William Whitacre Individual Corporate DirectorAt-Large, Board Member Oct 1, 2018
Christopher Roth Individual Corporate OfficerPresident & Ceo Jan 31, 2020
Corporate DirectorPresident & Ceo Jan 31, 2020
W-2 Managing EmployeePresident & Ceo Jan 31, 2020
W-2 Managing EmployeePresident & Ceo Oct 1, 2015
Jill Twedt Individual Corporate DirectorAt-Large, Board Member Nov 1, 2022
Corporate DirectorBoard Member Nov 1, 2022
Robert Mueller Individual Corporate OfficerVP Revenue Cycle Oct 1, 2015
W-2 Managing EmployeeVP Revenue Cycle Oct 1, 2015
Thomas K Corrick Individual Corporate DirectorAt-Large, Board Member Oct 1, 2018
William Ystueta Jr Individual Corporate DirectorAt-Large, Board Member Oct 1, 2023
Corporate DirectorBoard Member Oct 1, 2023
Laura a McGeorge Individual Corporate DirectorBoard Member Jul 1, 2024
David Snelson Individual Corporate DirectorBoard Member Oct 1, 2024
St Lukes Magic Valley Regional Medical Center LTD Organization, Twin Falls, ID Non-profit 5% Or Greater Direct Ownership Interest Aug 27, 2007 100%
Operational/Managerial Control Aug 27, 2007

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Lukes Canyon View Behavioral Health ServicesTwin Falls, ID, CCN 13S002 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 4, 2007
St Luke's Inpatient Rehabilitation UnitTwin Falls, ID, CCN 13T002 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Aug 27, 2007
Aug 27, 2007
St Lukes JeromeJerome, ID, CCN 131310 Hospital 5% Or Greater Direct Ownership Interest Oct 1, 2013
St Lukes Jerome Swing BedsJerome, ID, CCN 13Z310 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Oct 1, 2013
Oct 1, 2013
St Lukes Clinic Jerome Family MedicineJerome, ID, CCN 133992 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2011

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

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.

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

Affiliated clinicians 616

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 616

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1932154705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2777",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837012777",
            "telephone_number": "208-706-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 POLE LINE RD W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015810",
            "telephone_number": "208-814-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES HEALTH SYSTEM LTD",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "SENIOR VP, CFO",
        "authorized_official_telephone_number": "208-381-8717"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ID",
            "license": "14",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Lukes Magic Valley - Air Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Lukes Magic Valley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.