Organization · Type 2 NPI

McCall Memorial Hospital

Critical Access Hospital Clinic/Center · Donnelly, ID

NPI number 1265564967 Active

Practice location

454 West Roseberry Rd, Suite 103
Donnelly, ID 83615

Call (208) 325-4455 Map

Fax (208) 325-4466

Mailing address

1000 State St
Mccall, ID 83638-3704

Specialties and licenses

Taxonomy	Code	License
Critical Access Hospital Clinic/Center Primary	261QC0050X	11 (ID)

Critical Access Hospital Clinic/Center: An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

NPI record

NPI: 1265564967
Entity type: Organization (Type 2)
Issued: Mar 9, 2007
Last updated: Feb 15, 2008
Status: Active
Subpart: Yes of McCall Memorial Hospital

Other names

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Donnelly Medical Clinic, A MMH Physician Clinic · doing business as

Authorized official

Karen J Kellie
President
(208) 634-2221

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265564967

McCall Memorial Hospital's National Provider Identifier is 1265564967, issued on Mar 9, 2007. The primary taxonomy on file is Critical Access Hospital Clinic/Center (261QC0050X), and the practice location is in Donnelly, ID. The record was last updated on Feb 15, 2008.