St Lukes Mccall, Ltd

NPI #1336457738 in Mccall, Idaho

Provider Information

NPI Number: 1336457738
Entity Type: Organization
Organization Name: St Lukes Mccall, Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: ST LUKES MCCALL, LTD
Primary Specialty: Family Medicine
Enumeration Date: Sep 20, 2010
Last Updated: Jun 22, 2016

Practice Location

Address: 209 FOREST ST
City: Mccall
State: Idaho
ZIP Code: 83638-5256
Phone: (208) 634-2221

Authorized Official

Name: JEFF TAYLOR, CFO
Title: SYSTEM VP, CFO
Phone: (208) 381-2520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Acupuncturist	171100000X
Surgery	208600000X
Massage Therapist	225700000X
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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