Organization
MCCALL MEMORIAL HOSPITAL
Active
Parent organization
MCCALL MEMORIAL HOSPITAL
Other names
Dr. David G. Burica, A MMH Physician Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCCALL MEMORIAL HOSPITAL
Authorized official
LELAND C. RHODES (PRESIDENT CEO)
(208) 634-2221
Entity
Organization
Contact information
Practice address
323 DEINHARD LN STE A, MCCALL, ID 83638-4703
(208) 634-3857
(208) 634-3873
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
—
000010147424
REGENCE CLINIC GROUP #
ID
05
—
806919300
—
ID
01
—
8J620
BLUE CROSS CLINIC GROUP #
ID
Enumeration date
08/09/2006
Last updated
06/03/2010
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