Organization
ST LUKES MCCALL, LTD
Active
Parent organization
ST LUKES MCCALL, LTD
Other names
ST LUKES MCCALL PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES MCCALL, LTD
Authorized official
JEFF TAYLOR CFO (SYSTEM VP, CFO)
(208) 381-2520
Entity
Organization
Contact information
Practice address
1000 STATE ST, MCCALL, ID 83638-3704
(208) 634-2221
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 634-2221
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
ID
207P00000X
Emergency Medicine Physician
—
ID
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
ID
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
ID
208M00000X
Hospitalist Physician
Primary
—
ID
225100000X
Physical Therapist
—
ID
Other
Enumeration date
09/20/2010
Last updated
06/22/2016
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