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Contact Information

ST LUKES CLINIC - MCCALL LLC
1000 STATE ST
MCCALL, ID83638-3704
 Phone: 208-634-2221
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ST LUKES CLINIC MCCALL LLC · (Female)

NPI Number 1881982510
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2011
Last updated 04/23/2026 - About 1 months ago
Sole proprietor 1 Not specified
Identifiers
  • ID License # 11
  • ID Other 20001637 MEDICARE - CLINIC
  • ID Other 138516 MEDICARE - RHC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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