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ST LUKES MCCALL LTD NPI 1336457738


NPI Information

NPI: 1336457738
Provider Name: ST LUKES MCCALL, LTD

Doing Business As: ST LUKES MCCALL CLINICS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
209 FOREST ST
MCCALL, ID
ZIP 83638
Phone: (208) 634-2221
Get Directions

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 1336457738. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Lukes Mccall Clinics.

The provider's business location address is:

209 FOREST ST
MCCALL, ID
ZIP 83638-256
Phone: (208) 634-2221

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 enumeration date for this NPI number is 9/20/2010 and was last updated on 6/22/2016.


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
1133V00000XDietitian, RegisteredIDAHONo
2171100000XAcupuncturistIDAHONo
3208600000XSurgeryIDAHONo
4225700000XMassage TherapistIDAHONo
5363A00000XPhysician AssistantIDAHONo
6207Q00000XFamily MedicineIDAHOYes

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
11369059MEDICARE PINIDAHO

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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