National Provider Identifier Database

MCCALL MEMORIAL HOSPITAL
Critical Access Hospital

An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.


Contact Information

MCCALL MEMORIAL HOSPITAL
323 DEINHARD LN STE A
MCCALL, ID83638-4703
Phone: 208-634-3857
Fax: 208-634-3873
Website:
Specialty Taxonomy Code
* Critical Access Hospital 261QC0050X

* Indicates primary specialty

NPI Profile & details for MCCALL MEMORIAL HOSPITAL

NPI Number 1174533277
Legal business name
LBN
MCCALL MEMORIAL HOSPITAL
Authorized official LELAND RHODES - (PRESIDENT CEO)
Entity Organization
Organization subpart Yes
Enumeration date 08/09/2006
Last updated 06/03/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 11
  • ID Medicaid: 806919300
  • ID Other: 8J620 BLUE CROSS CLINIC GROUP #
  • ID Other: 000010147424 REGENCE CLINIC GROUP #

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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