Organization
MCCALL MEMORIAL HOSPITAL
Active
Other names
Psychiatric Nurse Practitioner Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN J KELLIE (PRESIDENT ADMINISTRATOR)
(208) 634-2221
Entity
Organization
Contact information
Practice address
1000 STATE ST, MCCALL, ID 83638-3704
(208) 634-2221
(208) 634-7112
Mailing address
1000 STATE ST, MCCALL, ID 83638-3704
(208) 634-2221
(208) 634-7112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NP454A
ID
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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