St Luke's Mccall Ltd

NPI #1770886384 in Mccall, Idaho

Provider Information

NPI Number: 1770886384
Entity Type: Organization
Organization Name: St Luke's Mccall Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: ST LUKE'S MCCALL LTD
Primary Specialty: Family Medicine
Enumeration Date: Dec 21, 2010
Last Updated: Dec 21, 2010

Practice Location

Address: 211 FOREST ST
City: Mccall
State: Idaho
ZIP Code: 83638-5256
Phone: (208) 634-2225

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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