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Organization
ST LUKES CLINIC - MCCALL LLC
Active
Organization
ST LUKES CLINIC - MCCALL LLC
Active
Parent organization
ST LUKES MCCALL LTD
Other names
St Lukes Clinic - McCall, St Lukes RHC - Salmon River/Riggins
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES MCCALL LTD
Authorized official
KATHRYN FOWLER (SENIOR VP, CFO)
(208) 381-8717
Entity
Organization
Contact information
Practice address
1000 STATE ST, MCCALL, ID 83638-3704
(208) 634-2221
Mailing address
PO BOX 640, BOISE, ID 83701-0640
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11
ID
207Q00000X
Family Medicine Physician
Primary
11
ID
207R00000X
Internal Medicine Physician
11
ID
208600000X
Surgery Physician
11
ID
208M00000X
Hospitalist Physician
11
ID
261QR1300X
Rural Health Clinic/Center
—
NULL
Other
Enumeration date
07/15/2011
Last updated
04/23/2026
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