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Organization
MCCALL MEMORIAL HOSPITAL
Active
Organization
MCCALL MEMORIAL HOSPITAL
Active
Other names
Integrative Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN J KELLIE (PRESIDENT ADMINISTRATOR)
(208) 634-2221
Entity
Organization
Contact information
Practice address
203 HEWITT ST, MCCALL, ID 83638-3704
(208) 634-1400
Mailing address
1000 STATE ST, MCCALL, ID 83638-3704
(208) 634-2221
(208) 634-7112
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
11
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M924
BLUE CROSS CLINIC #
ID
Enumeration date
12/13/2006
Last updated
08/27/2008
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