ST LUKES MCCALL LTD NPI 1245503614

NPI Information

  • NPI: 1245503614
  • Provider Name: ST LUKES MCCALL LTD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: ST LUKES PAYETTE LAKES MEDICAL CLINIC
  • CLIA Number: 13D2283397
  • Address: 211 FOREST ST
    MCCALL, ID
    ZIP 83638
  • Phone: (208) 634-2225

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NPI Details

ST LUKES MCCALL LTD is a family medicine in Mccall, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST LUKES MCCALL LTD NPI is 1245503614. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Lukes Payette Lakes Medical Clinic.

The provider's business location address is:

211 FOREST ST
MCCALL, ID
ZIP 83638-256
Phone: (208) 634-2225

The provider's authorized official is Jeff Taylor .
The authorized official title is System Vp Cfo and has the following contact phone number (208) 381-2520.

The CLIA number assigned to this NPI record is 13D2283397 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/16/2012 and was last updated on 2/16/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0000XFamily MedicineAdolescent Medicine11IDAHONo
2207QA0505XFamily MedicineAdult Medicine11IDAHONo
3207Q00000XFamily Medicine11IDAHOYes

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: 3/30/2025

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