MCCALL MEMORIAL HOSPITAL


Address: 1000 State St, Mccall, ID 83638-3704
Phone: 2086342221

MCCALL MEMORIAL HOSPITAL (NPI# 1619039732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619039732
Entity Type Organization
Organization Name MCCALL MEMORIAL HOSPITAL
Other Organization Name SWING BED
Practice Address 1000 State St
Mccall
ID 83638-3704
Practice Telephone 2086342221
Practice Fax Number 2086347112
Mailing Telephone 2086342221
Mailing Fax Number 2086347112
Enumeration Date 2006-12-14
Last Update Date 2020-08-22
Authorized Official Name KAREN J KELLIE (PRESIDENT ADMINISTRATOR)
Authorized Official Telephone 2086342221
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 275N00000X Medicare Defined Swing Bed Unit 11 ID Hospital Units

Other Provider/Organization Names

Other Name Type Code
Swing Bed Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265564967 Mccall Memorial Hospital Clinic/Center 454 West Roseberry Rd, Suite 103, Donnelly, ID 83615 2007-03-09
1336200096 Mccall Memorial Hospital Clinic/Center 203 Hewitt St, Mccall, ID 83638-3704 2006-12-13
1265442388 Mccall Memorial Hospital Clinic/Center 1010 State Street, Mccall, ID 83638-3704 2006-08-09
1174533277 Mccall Memorial Hospital Clinic/Center 323 Deinhard Ln Ste A, Mccall, ID 83638-4703 2006-08-09
1669534756 Mccall Memorial Hospital Counselor 1000 State St, Mccall, ID 83638-3704 2006-12-14
1558422212 Mccall Memorial Hospital General Acute Care Hospital 1000 State St, Mccall, ID 83638-3704 2006-12-13
1790846392 Mccall Memorial Hospital Physician Assistant 1000 State St, Mccall, ID 83638-3704 2006-12-13

Office Location

Street Address 1000 STATE ST
City MCCALL
State ID
Zip Code 83638-3704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538107362 Paul D Traughber Radiology 1000 State St, Mccall, ID 83638-3704 2006-06-03
1376163618 Andrea Lingle Pharmacist 1000 State St, Mccall, ID 83638-3704 2020-04-16
1780224618 Heidi Lee Galyardt Pharmacist 1000 State St, Mccall, ID 83638-3704 2020-01-08
1942849781 Megan Hatt Pharmacist 1000 State St, Mccall, ID 83638-3704 2019-12-26
1821636853 Jesse Cook Pharmacist 1000 State St, Mccall, ID 83638-3704 2019-12-20
1770927964 Susan Mccandless Dietitian, Registered 1000 State St, Mccall, ID 83638-3704 2013-04-18
1881982510 St Lukes Clinic - Mccall LLC Emergency Medicine 1000 State St, Mccall, ID 83638-3704 2011-07-15
1043528011 St Lukes Mccall, Ltd Medicare Defined Swing Bed Unit 1000 State St, Mccall, ID 83638-3704 2010-09-23
1417265810 St Lukes Mccall, Ltd Anesthesiology 1000 State St, Mccall, ID 83638-3704 2010-09-20
1235447970 St Lukes Mccall Ltd General Acute Care Hospital 1000 State St, Mccall, ID 83638-3704 2010-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255897708 Seanne Jo Safaii Dietitian, Registered 1100 Heaven's Gate Ct. #1910, Mccall, ID 83638 2019-02-20
1053881284 Debra Ann Jones Yensen Counselor 1242 Herrick Street N, Mccall, ID 83638 2018-11-30
1306369681 Cheyene Joseph Nickerson Pharmacist 132 East Lake Street, Mccall, ID 83638 2017-07-19
1669923892 Amy Leigh Forkan Massage Therapist 301 E Park St., Mccall, ID 83638 2016-10-24
1770982597 Rachel L Smith Acupuncturist 106 E. Park St, Suite 102, Mc Call, ID 83638 2014-08-18
1275944498 Central Idaho Counseling, Pllc Social Worker 125 Commerce St., Suite B, Mccall, ID 83638 2014-05-09
1548690829 Sze Wan Chan Pharmacist 1001 North 2nd Street, Mccall, ID 83638 2013-11-22
1467882274 Tamara Nagoda Speech-Language Pathologist 304 Edgewater Circle, Mccall, ID 83638 2013-11-14
1457537896 Thomas L Moore Counselor 310 E. Lake St., Tom Moore, Mccall, ID 83638 2008-01-16
1659581585 Barbara Gail Norton Social Worker 125 Commerce St, Suite B, Mccall, ID 83638 2007-05-22
Find all providers in zip 83638

Taxonomy Information

Taxonomy Code 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Notes: Source: Code of Federal Regulations #42, Section 482.66.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043528011 St Lukes Mccall, Ltd Medicare Defined Swing Bed Unit 1000 State St, Mccall, ID 83638-3704 2010-09-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992913479 Steele Memorial Medical Center Medicare Defined Swing Bed Unit 203 S. Daisy St., Salmon, ID 83467 2007-05-18
1730511254 St Lukes Magic Valley Regional Medical Center Ltd Medicare Defined Swing Bed Unit 709 N Lincoln Ave, Jerome, ID 83338-1851 2013-08-07
1710226451 St Lukes Regional Medical Center Medicare Defined Swing Bed Unit 895 N 6th E, Mountain Home, ID 83647-2207 2013-01-31
1689876781 Bmh Inc Medicare Defined Swing Bed Unit 98 Poplar St, Blackfoot, ID 83221-1758 2007-06-01
1043429327 Bingham Memorial Hospital Medicare Defined Swing Bed Unit 98 Poplar St, Blackfoot, ID 83221-1758 2007-05-22
1700909983 Walter Knox Memorial Hospital Medicare Defined Swing Bed Unit 1202 E Locust St, Emmett, ID 83617-2715 2007-04-10
1275662546 St Lukes Medical Center Woodriver Ltd Medicare Defined Swing Bed Unit 100 Hospital Drive, Ketchum, ID 83340-9999 2007-03-05
1740341114 Gooding County Hospital District Medicare Defined Swing Bed Unit 1120 Montana St, Gooding, ID 83330-1858 2006-12-12
1598825028 Caribou Memorial Hospital Medicare Defined Swing Bed Unit 300 S 3rd W, Soda Springs, ID 83276-1559 2006-12-12
1083790216 Clearwater Valley Hospital & Clinics Inc. Medicare Defined Swing Bed Unit 301 Cedar St, Orofino, ID 83544-9029 2006-10-31
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Competitor

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City MCCALL
Zip Code 83638

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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