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Contact Information

MCCALL MEMORIAL HOSPITAL
1010 STATE STREET
MCCALL, ID83638-3704
 Phone: 208-634-2221
 Fax: 208-634-7112
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Access Hospital

261QC0050X
Indicates primary specialty

NPI Profile & details for MCCALL MEMORIAL HOSPITAL

NPI Number 1265442388
LBN Legal business name MCCALL MEMORIAL HOSPITAL
Authorized official MATT GROENIG - (VP FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/09/2006
Last updated 05/06/2010 - About 16 years ago
Identifiers
ID License # 11
ID Medicaid 806937700
ID Medicaid 807424900
ID Other 8J612 BLUE CROSS CLINIC GRP #
ID Other 000010147637 REGENCE CLINIC GRP #
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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