NPIMap

Organization Active NPI

McCall Medical Clinics

  • Critical Access Hospital Clinic/Center
  • McCall, ID
National Provider Identifier
1235306861
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
Legal business name
MCCALL MEDICAL CLINICS
Practice address
209 Forest St
McCall, ID 83638-5256
Phone
(208) 634-1776
Fax
(208) 634-3873
NPI assigned
May 13, 2008
Organization subpart
Yes
Parent organization
MCCALL MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Mr. Matthew Groenig
Title
VP Finance
Phone
(208) 634-4061

Specialties & licenses 1

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

Addresses

Primary practice location

209 Forest St
McCall, ID 83638-5256

Mailing address

1000 State St
McCall, ID 83638-3704
Phone (208) 634-4061

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2267433St Luke's Clinic-Internal Medicine McCall209 Forest St, McCall, ID 83638Certificate of waiverAug 24, 2026

National Provider Directory

National Provider Directory
Tax ID family
McCall Medical Clinics4 organizations share this tax ID, including this one
Part of
McCall Medical Clinics

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1235306861",
    "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": "208-634-4061",
            "fax_number": "208-634-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FOREST ST",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836385256",
            "telephone_number": "208-634-1776",
            "fax_number": "208-634-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCALL MEDICAL CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCALL MEMORIAL HOSPITAL",
        "enumeration_date": "2008-05-13",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "GROENIG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "208-634-4061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.