St Lukes Clinic - Mccall LLC

NPI #1881982510 in Mccall, Idaho

Provider Information

NPI Number: 1881982510
Entity Type: Organization
Organization Name: St Lukes Clinic - Mccall LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ST LUKES MCCALL LTD
Primary Specialty: Family Medicine
Enumeration Date: Jul 15, 2011
Last Updated: Dec 12, 2022

Practice Location

Address: 1000 STATE ST
City: Mccall
State: Idaho
ZIP Code: 83638-3704
Phone: (208) 634-2221

Authorized Official

Name: KATHRYN FOWLER
Title: SENIOR VP, CFO
Phone: (208) 381-8717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Internal Medicine	207R00000X
Surgery	208600000X
Hospitalist	208M00000X
Clinic/Center - Rural Health — Rural Health	261QR1300X
Family Medicine	207Q00000X	Primary

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