NPIMap

Organization Active NPI

McCall Memorial Hospital

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

  • Critical Access Hospital Clinic/Center
  • McCall, ID
National Provider Identifier
1174533277
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
License
11 Issued in ID
Legal business name
MCCALL MEMORIAL HOSPITAL
Doing business as
Dr. David G. Burica, A MMH Physician Clinic
Practice address
323 Deinhard LN Ste a
McCall, ID 83638-4703
Phone
(208) 634-3857
Fax
(208) 634-3873
NPI assigned
Aug 9, 2006
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MCCALL MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X 11 ID Primary

Addresses

Primary practice location

323 Deinhard LN Ste a
McCall, ID 83638-4703

Mailing address

1000 State St
McCall, ID 83638-3704
Phone (208) 634-2221

Other names 1

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

National Provider Directory

National Provider Directory
Part of
McCall Mem Hosp Crna

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. David G. Burica, A MMH Physician Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McCall, ID

Sources for this page

  • 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.