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
454 WEST ROSEBERRY RD, SUITE 103
DONNELLY, ID83615
Phone: 208-325-4455
Fax: 208-325-4466
Website:
Specialty Taxonomy Code
* Critical Access Hospital 261QC0050X

* Indicates primary specialty

NPI Profile & details for MCCALL MEMORIAL HOSPITAL

NPI Number 1265564967
Legal business name
LBN
MCCALL MEMORIAL HOSPITAL
Authorized official KAREN KELLIE - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 03/09/2007
Last updated 02/15/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 11
  • ID Other: 8M977 BLUE CROSS OF ID CLINIC
  • ID Other: 000010159605 REGENCE CLINIC NUMBER

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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