St Lukes Payette Lakes Medical Clinic

LBN: St Lukes Mccall Ltd
St Lukes Payette Lakes Medical Clinic is an health care organization with primary practice located at 211 Forest St , Mccall ID 83638-5256. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. St Lukes Mccall Ltd can be contacted via phone (208) 634-2225, or through Taylor, Jeff via phone (208) 381-2520.

Contact Information

Primary practice address
211 Forest St Mccall ID 83638-5256
Phone: (208) 634-2225
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Jeff
Phone: (208) 381-2520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11 Idaho
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 11 Idaho
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 11 Idaho

Profile Details

NPI number 1245503614
LBN Legal business name St Lukes Mccall Ltd
DBA Doing business as St Lukes Payette Lakes Medical Clinic
Authorized official Taylor, Jeff
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 16th, 2012
Last updated Feb 16th, 2012 - about 13 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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