St. Luke'S Magic Valley Regional Medical Center, LTD.
Organization Active NPI General Acute Care Hospital · Twin Falls, ID
NPI 1932154705 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1932154705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 14 (ID)
- Legal business name
- ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER, LTD.
- Practice address
- 801 Pole Line Rd W
Twin Falls, ID 83301-5810 - Phone
- (208) 814-1000
- NPI assigned
- May 23, 2006
- 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 7
-
Lucie A Dimaggio, M.D.
-
Laura A McGeorge, MD
Owned or controlled facilities with NPI records 5
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 5
Related certifications (CCN) 2
Facilities with the same owner 19
Practitioners 41
-
Jennifer T Shalz, MD
-
Chad F Colvin, D.O.
-
Basil Clarence Anderson, M.D.
-
Jameson Bastow, DO
-
Cade Call, DO
-
Michael J Cannon, DO
-
Cathy White Canty, M.D.
-
Darren W Coleman, MD
-
Matthew Duersch, M.D.
-
Kena D Lackman, MD
-
Matthew H Packham, M.D.
-
Brad Q Starley, MD
-
Paul Kenneth Stevens, D.O.
-
Joseph Murdock Strobel, D.O.
-
Matthew Weslee Allen, M.D.
-
Sandeep Amesur, M.D.
Affiliated clinicians 616
-
Shelly Ann Abell, FNP
-
Elliot McNamara Adams, M.D.
-
Jessica Rose Adamson, MSN, APRN, FNP-C
-
Amanda J Allaire, NP
-
Marc Allan, DO
-
Nathan Kent Allen, D.O.
-
Abigail C Allman, MD
-
Basil Clarence Anderson, M.D.
-
John Roger Anderson, D.O.
-
Kelly Curtis Anderson, D.O.
-
Logan Anderson, DO
-
Toby L Anderton, M.D.
-
Thomas C Ashby, M.D.
-
Benjamin W Attebury, PA-C
-
Eric Leon Bailey, CRNA
-
John A Baker, M.D.
-
Gregory R Ball, DO
-
Samuel Fox Barker, M.D.
-
Samuel Harrison Barker, D.C., NP-C
-
Alisa Barnes, PAC
Medicare Care Compare: Hospital
- Listed as
- St Lukes Magic Valley Medical Center
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- St. Luke'S Magic Valley Regional Medical Center
- Ownership
- Non-profit
- Certified
- Oct 1, 2007
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in ID
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
- Corporation · Non-profit
- Incorporated
- Mar 13, 2006 in ID
- Enrollment address
- 801 Pole Line Rd W
Twin Falls, ID 83301-5810 - 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
- Corporation · Non-profit
- Incorporated
- Mar 13, 2006 in ID
- Enrollment address
- 775 Pole Line Rd W
Ste 307
Twin Falls, ID 83301-5823 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Durmot Mark Durcan |
Corporate Director |
Oct 1, 2018 | |
| Lisa Grow |
Corporate Director |
Oct 1, 2018 | |
| Emily Baker |
Corporate Director |
Nov 1, 2021 | |
| Corporate Director |
Nov 1, 2021 | ||
| Allan Korn |
Corporate Director |
Oct 1, 2018 | |
| Robert Lokken |
Corporate Director |
Oct 1, 2018 | |
| Andrew Scoggin |
Corporate Director |
Oct 1, 2018 | |
| Richard Raimondi |
Corporate Director |
Oct 1, 2018 | |
| Lucie a Dimaggio |
Corporate Director |
Oct 1, 2018 | |
| Daniel Krahn |
Corporate Director |
Oct 1, 2018 | |
| St Lukes Health System LTD |
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 |
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 | |
| W-2 Managing Employee |
Feb 1, 2021 | ||
| Corporate Director |
Feb 1, 2021 | ||
| Rosa Davila |
Corporate Director |
Sep 30, 2021 | |
| Corporate Director |
Sep 1, 2021 | ||
| William Gilbert |
Corporate Director |
Nov 1, 2022 | |
| Corporate Director |
Nov 1, 2022 | ||
| William Whitacre |
Corporate Director |
Oct 1, 2018 | |
| Christopher Roth |
Corporate Officer |
Jan 31, 2020 | |
| Corporate Director |
Jan 31, 2020 | ||
| W-2 Managing Employee |
Jan 31, 2020 | ||
| W-2 Managing Employee |
Oct 1, 2015 | ||
| Jill Twedt |
Corporate Director |
Nov 1, 2022 | |
| Corporate Director |
Nov 1, 2022 | ||
| Robert Mueller |
Corporate Officer |
Oct 1, 2015 | |
| W-2 Managing Employee |
Oct 1, 2015 | ||
| Thomas K Corrick |
Corporate Director |
Oct 1, 2018 | |
| William Ystueta Jr |
Corporate Director |
Oct 1, 2023 | |
| Corporate Director |
Oct 1, 2023 | ||
| Laura a McGeorge |
Corporate Director |
Jul 1, 2024 | |
| David Snelson |
Corporate Director |
Oct 1, 2024 | |
| St Lukes Magic Valley Regional Medical Center LTD |
5% Or Greater Direct Ownership Interest | Aug 27, 2007 | 100% |
| Operational/Managerial Control | Aug 27, 2007 |
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| St Lukes Canyon View Behavioral Health Services |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 4, 2007 |
| St Luke'S Inpatient Rehabilitation Unit |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 27, 2007 Aug 27, 2007 |
| St Lukes Jerome |
Hospital | 5% Or Greater Direct Ownership Interest | Oct 1, 2013 |
| St Lukes Jerome Swing Beds |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Oct 1, 2013 Oct 1, 2013 |
| St Lukes Clinic Jerome Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- St Luke'S Children'S
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 14 | ID | Yes |
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807496600 | Medicaid | ID |
Other names
- St Lukes Magic Valley - Air Ambulance
- St Lukes Magic Valley Medical Center
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 Twin Falls, ID
- St Lukes Regional Medical Center
- St Lukes Regional Medical Center
- St. Luke'S Canyon View
- St. Luke'S Magic Valley Medical Center
- St. Luke'S Magic Valley Regional Medical Center LTD
- St. Luke'S Magic Valley RMC-Lifeline
- Stacey Pound, LLC
- Miriam Joyce Staffen
- Douglas L Stagg
- Donna Stalley
All providers in Twin Falls, 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 Apr 23, 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.