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Organization
ST LUKES MCCALL, LTD
Active
Organization
ST LUKES MCCALL, LTD
Active
Parent organization
ST LUKES MCCALL, LTD
Other names
ST LUKES MCCALL CLINICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES MCCALL, LTD
Authorized official
JEFF TAYLOR CFO (SYSTEM VP, CFO)
(208) 381-2520
Entity
Organization
Contact information
Practice address
209 FOREST ST, MCCALL, ID 83638-5256
(208) 634-2221
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 634-2221
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
ID
171100000X
Acupuncturist
—
ID
207Q00000X
Family Medicine Physician
Primary
—
ID
208600000X
Surgery Physician
—
ID
225700000X
Massage Therapist
—
ID
363A00000X
Physician Assistant
—
ID
Other
Enumeration date
09/20/2010
Last updated
06/22/2016
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