NPIMap

Organization Active NPI

St Lukes Magic Valley Regional Medical Center

  • Skilled Nursing Facility
  • Twin Falls, ID
National Provider Identifier
1952348641
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER
Practice address
801 Poleline Rd W
Twin Falls, ID 83301-5799
Phone
(208) 814-7459
Fax
(208) 814-7491
NPI assigned
Jun 1, 2006
Last updated
May 11, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Mr. James Angle
Title
Ceo
Phone
(208) 737-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X ID Primary

Addresses

Primary practice location

801 Poleline Rd W
Twin Falls, ID 83301-5799

Mailing address

PO Box 409
Twin Falls, ID 83303-0409
Phone (208) 814-7459

Other identifiers 1

IdentifierTypeStateIssuer
02576OtherIDBLUE CROSS PROV NUMBER

National Provider Directory

National Provider Directory
Part of
SLMV Medical Center

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1952348641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030409",
            "telephone_number": "208-814-7459",
            "fax_number": "208-814-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 POLELINE RD W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015799",
            "telephone_number": "208-814-7459",
            "fax_number": "208-814-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "ANGLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-737-2101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV NUMBER",
            "identifier": "02576",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.