McCall Memorial Hospital

Primary specialty

Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X

License

11 Issued in ID

Legal business name

MCCALL MEMORIAL HOSPITAL

Practice address

323 Deinhard LN Ste a
McCall, ID 83638-4703

Phone

(208) 634-3857

Fax

(208) 634-3873

NPI assigned

Aug 9, 2006

Organization subpart

Yes

Parent organization

MCCALL MEMORIAL HOSPITALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leland C. Rhodes

Title

President Ceo

Phone

(208) 634-2221

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. David G. Burica, A MMH Physician Clinic Doing business as

Part of

McCall Memorial Hosp DME

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David G. Burica, MD

  • Internal Medicine Physician
  • McCall, ID
  • NPI 1265599096
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1174533277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 STATE ST",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836383704",
            "telephone_number": "208-634-2221",
            "fax_number": "208-634-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 DEINHARD LN STE A",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836384703",
            "telephone_number": "208-634-3857",
            "fax_number": "208-634-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCALL MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCALL MEMORIAL HOSPITAL",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "208-634-2221"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "ID",
            "license": "11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806919300",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE CLINIC GROUP #",
            "identifier": "000010147424",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CLINIC GROUP #",
            "identifier": "8J620",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. David G. Burica, A MMH Physician Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary M. McAlonie, OT
• McCall Chiropractic Inc.
• McCall Fire Protection District
• McCall Healthcare LLC
• McCall Medical Clinics
• McCall Memorial Hospital
• McCall Memorial Hospital
• McCall Memorial Hospital
• McCall Memorial Hospital
• McCall Memorial Hospital

• Critical Access Hospital Clinic/Center in McCall, ID
• Providers in McCall, ID by specialty
• Critical Access Hospital Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.