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ST LUKE'S MCCALL LTD NPI 1770886384


NPI Information

NPI: 1770886384
Provider Name: ST LUKE'S MCCALL LTD

Doing Business As: ST LUKE'S PAYETTE LAKES MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
211 FOREST ST
MCCALL, ID
ZIP 83638
Phone: (208) 634-2225
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ST LUKE'S 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 LUKE'S MCCALL LTD NPI is 1770886384. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Luke's 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 enumeration date for this NPI number is 12/21/2010 and was last updated on 12/21/2010.


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
1207V00000XObstetrics & Gynecology11IDAHONo
2363L00000XNurse Practitioner11IDAHONo
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: 11/14/2023

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