MCCALL MEMORIAL HOSPITAL; NPI #1265564967

Contact Information

MCCALL MEMORIAL HOSPITAL

454 WEST ROSEBERRY RD, SUITE 103
DONNELLY, ID 83615

Phone: 208-325-4455
Fax: 208-325-4466
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Critical Access Hospital	261QC0050X

Indicates primary specialty

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NPI Profile & details for MCCALL MEMORIAL HOSPITAL

NPI # 1265564967

LBN Legal business name MCCALL MEMORIAL HOSPITAL

Authorized official KAREN KELLIE - (PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 03/09/2007

Last updated 02/15/2008 - About 18 years ago

Identifiers

ID	License #	11
ID	Other	8M977	BLUE CROSS OF ID CLINIC
ID	Other	000010159605	REGENCE CLINIC NUMBER

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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