MCCALL MEMORIAL HOSPITAL (NPI# 1558422212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558422212 |
| Entity Type | Organization |
| Organization Name | MCCALL MEMORIAL HOSPITAL |
| Other Organization Name | MMH PHYSICIANS GROUP |
| Practice Address |
1000 State St Mccall ID 83638-3704 |
| Practice Telephone | 2086342221 |
| Practice Fax Number | 2086347112 |
| Mailing Telephone | 2086342221 |
| Mailing Fax Number | 2086347112 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KAREN J KELLIE (PRESIDENT ADMINISTRATOR) |
| Authorized Official Telephone | 2086342221 |
| 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 |
| Other Name | Type Code |
|---|---|
| MMH Physicians Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265564967 | Mccall Memorial Hospital | Clinic/Center | 454 West Roseberry Rd, Suite 103, Donnelly, ID 83615 | 2007-03-09 |
| 1336200096 | Mccall Memorial Hospital | Clinic/Center | 203 Hewitt St, Mccall, ID 83638-3704 | 2006-12-13 |
| 1265442388 | Mccall Memorial Hospital | Clinic/Center | 1010 State Street, Mccall, ID 83638-3704 | 2006-08-09 |
| 1174533277 | Mccall Memorial Hospital | Clinic/Center | 323 Deinhard Ln Ste A, Mccall, ID 83638-4703 | 2006-08-09 |
| 1669534756 | Mccall Memorial Hospital | Counselor | 1000 State St, Mccall, ID 83638-3704 | 2006-12-14 |
| 1619039732 | Mccall Memorial Hospital | Medicare Defined Swing Bed Unit | 1000 State St, Mccall, ID 83638-3704 | 2006-12-14 |
| 1790846392 | Mccall Memorial Hospital | Physician Assistant | 1000 State St, Mccall, ID 83638-3704 | 2006-12-13 |
| 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 |
| 1235447970 | St Lukes Mccall Ltd | General Acute Care Hospital | 1000 State St, Mccall, ID 83638-3704 | 2010-09-15 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 83638 | ||||
| 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 |
|---|---|---|---|---|
| 1235447970 | St Lukes Mccall Ltd | General Acute Care Hospital | 1000 State St, Mccall, ID 83638-3704 | 2010-09-15 |
| 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.