Organization
ST LUKES MCCALL LTD
Active
Organization subpart
No
Provider details
NPI number
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 2777, BOISE, ID 83701-2777
(208) 706-5000
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
11
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13Z312
SWING BED PIN
ID
Enumeration date
09/15/2010
Last updated
04/23/2026
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