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MCCALL MEMORIAL HOSPITAL NPI 1174533277


NPI Information

NPI: 1174533277
Provider Name: MCCALL MEMORIAL HOSPITAL

Doing Business As: DR. DAVID G. BURICA, A MMH PHYSICIAN CLINIC

Classification: Clinic/Center - 261QC0050X
Entity Type: Organization

Specialization: Critical Access Hospital

Address:
323 DEINHARD LN STE A
MCCALL, ID
ZIP 83638
Phone: (208) 634-3857
Get Directions

MCCALL MEMORIAL HOSPITAL is a critical access hospital clinic center in Mccall, ID. The provider is an outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. MCCALL MEMORIAL HOSPITAL NPI is 1174533277. The provider is registered as an organization entity type.
The provider Is Doing Business As Dr. David G. Burica, A Mmh Physician Clinic.

The provider's business location address is:

323 DEINHARD LN STE A
MCCALL, ID
ZIP 83638-703
Phone: (208) 634-3857
Fax: (208) 634-3873

The provider's authorized official is Leland C. Rhodes .
The authorized official title is President Ceo and has the following contact phone number (208) 634-2221.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 6/3/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC0050XClinic/CenterCritical Access Hospital11IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11253002MEDICARE PINIDAHO
2131312MEDICARE OSCAR/CERTIFICATIONIDAHO
38J620OTHERIDAHOBLUE CROSS CLINIC GROUP #
4806919300MEDICAIDIDAHO
5000010147424OTHERIDAHOREGENCE CLINIC GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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