# ST LUKES MCCALL, LTD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST LUKES MCCALL, LTD
- **Other names:** ST LUKES MCCALL CLINICS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336457738
- **Legal business name:** ST LUKES MCCALL, LTD
- **Authorized official:** JEFF TAYLOR CFO (SYSTEM VP, CFO)
- **Authorized official phone:** (208) 381-2520

## Contact information

- **Practice address:** 209 FOREST ST, MCCALL, ID 83638-5256
- **Practice address phone:** (208) 634-2221
- **Mailing address:** 190 E BANNOCK ST, BOISE, ID 83712-6241
- **Mailing address phone:** (208) 634-2221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | ID | — |
| 171100000X | Acupuncturist | — | ID | — |
| 207Q00000X | Family Medicine Physician | — | ID | Yes |
| 208600000X | Surgery Physician | — | ID | — |
| 225700000X | Massage Therapist | — | ID | — |
| 363A00000X | Physician Assistant | — | ID | — |

## Other

- **Enumeration date:** 09/20/2010
- **Last updated:** 06/22/2016