Dr. David G. Burica, A Mmh Physician Clinic

LBN: Mccall Memorial Hospital
Dr. David G. Burica, A Mmh Physician Clinic is an health care organization with primary practice located at 323 Deinhard Ln Ste A , Mccall ID 83638-4703. The organization recently has only one registered license in Ambulatory Health Care Facilities / Critical Access Hospital, which is considered as the primary health care specialty. Mccall Memorial Hospital can be contacted via phone (208) 634-3857, or through Rhodes, Leland C. via phone (208) 634-2221.

Contact Information

Primary practice address
323 Deinhard Ln Ste A Mccall ID 83638-4703
Phone: (208) 634-3857
Fax: (208) 634-3873
Website:
Map and Directions
Authorized official contact:
Name: Rhodes, Leland C.
Phone: (208) 634-2221

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Critical Access Hospital 261QC0050X 11 Idaho

Profile Details

NPI number 1174533277
LBN Legal business name Mccall Memorial Hospital
DBA Doing business as Dr. David G. Burica, A Mmh Physician Clinic
Authorized official Rhodes, Leland C.
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 9th, 2006
Last updated Jun 3rd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174533277 NPPES
Idaho MEDICAID 806919300
Idaho Other 000010147424
Idaho Other 8J620

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