# ST LUKES CLINIC - MCCALL LLC

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- **Entity:** Organization
- **Status:** 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:** 1881982510
- **Legal business name:** ST LUKES MCCALL LTD
- **Authorized official:** KATHRYN FOWLER (SENIOR VP, CFO)
- **Authorized official phone:** (208) 381-8717

## Contact information

- **Practice address:** 1000 STATE ST, MCCALL, ID 83638-3704
- **Practice address phone:** (208) 634-2221
- **Mailing address:** PO BOX 640, BOISE, ID 83701-0640
- **Mailing address phone:** (208) 381-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 11 | ID | — |
| 207Q00000X | Family Medicine Physician | 11 | ID | Yes |
| 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