ST LUKES MCCALL LTD (NPI# 1235447970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235447970 |
Entity Type | Organization |
Organization Name | ST LUKES MCCALL LTD |
Practice Address |
1000 State St Mccall ID 83638-3704 |
Mailing Address |
Po Box 2777 Boise ID 83701-2777 |
Practice Telephone | 2086342221 |
Mailing Telephone | 2087065000 |
Enumeration Date | 2010-09-15 |
Last Update Date | 2016-09-29 |
Authorized Official Name | JEFF TAYLOR (CFO, SYSTEM VP) |
Authorized Official Telephone | 2083812520 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
11 | ID | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | SWING BED PIN | 13Z312 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245503614 | St Lukes Mccall Ltd | Family Medicine | 211 Forest St, Mccall, ID 83638-5256 | 2012-02-16 |
Street Address |
1000 STATE ST |
City | MCCALL |
State | ID |
Zip Code | 83638-3704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538107362 | Paul D Traughber | Radiology | 1000 State St, Mccall, ID 83638-3704 | 2006-06-03 |
1376163618 | Andrea Lingle | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2020-04-16 |
1780224618 | Heidi Lee Galyardt | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2020-01-08 |
1942849781 | Megan Hatt | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2019-12-26 |
1821636853 | Jesse Cook | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2019-12-20 |
1770927964 | Susan Mccandless | Dietitian, Registered | 1000 State St, Mccall, ID 83638-3704 | 2013-04-18 |
1881982510 | St Lukes Clinic - Mccall LLC | Emergency Medicine | 1000 State St, Mccall, ID 83638-3704 | 2011-07-15 |
1043528011 | St Lukes Mccall, Ltd | Medicare Defined Swing Bed Unit | 1000 State St, Mccall, ID 83638-3704 | 2010-09-23 |
1417265810 | St Lukes Mccall, Ltd | Anesthesiology | 1000 State St, Mccall, ID 83638-3704 | 2010-09-20 |
1912224890 | Jonathan M Currey | Family Medicine | 1000 State St, Mccall, ID 83638-3704 | 2010-04-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255897708 | Seanne Jo Safaii | Dietitian, Registered | 1100 Heaven's Gate Ct. #1910, Mccall, ID 83638 | 2019-02-20 |
1053881284 | Debra Ann Jones Yensen | Counselor | 1242 Herrick Street N, Mccall, ID 83638 | 2018-11-30 |
1306369681 | Cheyene Joseph Nickerson | Pharmacist | 132 East Lake Street, Mccall, ID 83638 | 2017-07-19 |
1669923892 | Amy Leigh Forkan | Massage Therapist | 301 E Park St., Mccall, ID 83638 | 2016-10-24 |
1770982597 | Rachel L Smith | Acupuncturist | 106 E. Park St, Suite 102, Mc Call, ID 83638 | 2014-08-18 |
1275944498 | Central Idaho Counseling, Pllc | Social Worker | 125 Commerce St., Suite B, Mccall, ID 83638 | 2014-05-09 |
1548690829 | Sze Wan Chan | Pharmacist | 1001 North 2nd Street, Mccall, ID 83638 | 2013-11-22 |
1467882274 | Tamara Nagoda | Speech-Language Pathologist | 304 Edgewater Circle, Mccall, ID 83638 | 2013-11-14 |
1457537896 | Thomas L Moore | Counselor | 310 E. Lake St., Tom Moore, Mccall, ID 83638 | 2008-01-16 |
1659581585 | Barbara Gail Norton | Social Worker | 125 Commerce St, Suite B, Mccall, ID 83638 | 2007-05-22 |
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Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558422212 | Mccall Memorial Hospital | General Acute Care Hospital | 1000 State St, Mccall, ID 83638-3704 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851761464 | Brent Leavitt | General Acute Care Hospital | 4928 Pleasant View Dr, Chubbuck, ID 83202-1640 | 2015-09-25 |
1053669598 | Teton Valley Health Care, Inc | General Acute Care Hospital | 120 E Howard Avenue, Driggs, ID 83422-5112 | 2012-08-15 |
1639406267 | Florence Hospital, LLC | General Acute Care Hospital | 1300 E State St, Suite 102, Eagle, ID 83616-7059 | 2009-11-03 |
1912132176 | Initiatives Healthcare, LLC | General Acute Care Hospital | 1205 N 11th St, Boise, ID 83702-4102 | 2009-05-18 |
1417122821 | Elmore Medical Center Specialty Physician Group | General Acute Care Hospital | 890 N 6th E, Mountain Home, ID 83647-2206 | 2008-04-25 |
1275703241 | North Canyon Medical Center, Inc. | General Acute Care Hospital | 267 North Canyon Drive, Gooding, ID 83330-1858 | 2008-03-06 |
1720298102 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th Street, Weiser, ID 83672-2202 | 2007-05-23 |
1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
1295769537 | Gooding County Hospital District | General Acute Care Hospital | 1120 Montana St, Gooding, ID 83330-1858 | 2006-07-11 |
1881641629 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th St., Weiser, ID 83672-2202 | 2006-05-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.