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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

NPI # 1881982510
LBN Legal business name ST LUKES CLINIC - MCCALL LLC
Authorized official KATHRYN FOWLER - (SENIOR VP, CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/15/2011
Last updated 04/23/2026 - About 1 months ago
Identifiers
ID License # 11
ID Other 20001637 MEDICARE - CLINIC
ID Other 138516 MEDICARE - RHC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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