| St Lukes Rhc - Trinity Mountain | |
|
840 N 4th E Mountain Home ID 83647-2166 | |
| (208) 587-1850 | |
| Not Available |
| Full Name | St Lukes Rhc - Trinity Mountain |
|---|---|
| Speciality | Family Medicine |
| Location | 840 N 4th E, Mountain Home, Idaho |
| Authorized Official Name and Position | Kathryn Fowler (SENIOR VP, CFO) |
| Authorized Official Contact | 2083818717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Lukes Rhc - Trinity Mountain Po Box 640 Boise ID 83701-0640 Ph: (208) 381-2222 | St Lukes Rhc - Trinity Mountain 840 N 4th E Mountain Home ID 83647-2166 Ph: (208) 587-1850 |
| NPI Number | 1417297821 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 04/23/2026 |
| Certification Date | 04/23/2026 |
| Medicare PECOS PAC ID | 4981878402 |
|---|---|
| Medicare Enrollment ID | O20161109002873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417297821 | NPI | - | NPPES |
| 133999 | Other | ID | MEDICARE / RHC |
| 1369110 | Other | ID | MEDICARE / MULTI SPECIALTY CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Secondary |
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 208000000X | Pediatrics | (NU) | Secondary |
Idaho Behavioral Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-580-9525 Fax: 208-580-9527 |
Desert Sage Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324 |
Resilient Chiropractic PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 N 2nd E, Mountain Home, ID 83647 Phone: 208-800-0745 |
North Canyon Mountain Home Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 N 4th E, Mountain Home, ID 83647 Phone: 208-934-8829 Fax: 208-934-4874 |
Trinity Mountain Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 Fax: 208-580-9812 |