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1760203921 NPI number — ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD

NPI Number: 1760203921
Health Care Provider/Practitioner: ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD

Information about “1760203921” NPI (ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD) exists in 1760203921 in HTML format HTML  |  1760203921 in plain Text format TXT  |  1760203921 in PDF (Portable Document Format) PDF  |  1760203921 in an XML format XML  formats.

NPI Number : 1760203921 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760203921",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "ST LUKES HEALTH SYSTEM LTD",
    "ParentOrgTIN": null,
    "OrgName": "ST LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER LTD",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 640",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOISE",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83701-0640",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-205-7779",
    "MailingAddressFaxNumber": "208-205-7778",
    "FirstLinePracticeLocationAddress": "801 POLE LINE RD W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TWIN FALLS",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83301-5810",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-814-1275",
    "PracticeLocationAddressFaxNumber": "208-814-1276",
    "EnumerationDate": "10/21/2024",
    "LastUpdateDate": "02/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CURTIS",
    "AuthorizedOfficialFirstName": "KELLY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF PHARMACY OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "208-493-2307",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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