Donnelly Medical Clinic, A Mmh Physician Clinic

LBN: Mccall Memorial Hospital
Donnelly Medical Clinic, A Mmh Physician Clinic is an health care organization with primary practice located at 454 West Roseberry Rd, Suite 103 , Donnelly ID 83615. 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) 325-4455, or through Kellie, Karen J via phone (208) 634-2221.

Contact Information

Primary practice address
454 West Roseberry Rd, Suite 103 Donnelly ID 83615
Phone: (208) 325-4455
Fax: (208) 325-4466
Website:
Map and Directions
Authorized official contact:
Name: Kellie, Karen J
Phone: (208) 634-2221

Health care specialties

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

Profile Details

NPI number 1265564967
LBN Legal business name Mccall Memorial Hospital
DBA Doing business as Donnelly Medical Clinic, A Mmh Physician Clinic
Authorized official Kellie, Karen J
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 9th, 2007
Last updated Feb 15th, 2008 - about 17 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 1265564967 NPPES
Idaho Other 000010159605 REGENCE CLINIC NUMBER
Idaho Other 8M977 REGENCE CLINIC NUMBER

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