NPIMap

Organization Active NPI

St Lukes McCall LTD

  • Critical Access Hospital
  • McCall, ID
National Provider Identifier
1235447970
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
11 Issued in ID
Legal business name
ST LUKES MCCALL LTD
Practice address
1000 State St
McCall, ID 83638-3704
Phone
(208) 634-2221
NPI assigned
Sep 15, 2010
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Kathryn Fowler
Title
Senior VP, Cfo
Phone
(208) 381-8717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 11 ID Primary

Addresses

Primary practice location

1000 State St
McCall, ID 83638-3704

Mailing address

PO Box 2777
Boise, ID 83701-2777
Phone (208) 706-5000

Other identifiers 1

IdentifierTypeStateIssuer
13Z312OtherIDSWING BED PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101116000149 ID Part A Provider - Critical Access Hospital 6507059458 Practice locations: McCall, ID; Riggins, ID; New Meadows, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235447970. Details of each certification follow.

Hospital certification: CCN 131312

Legal name
ST LUKES MCCALL, LTD
Doing business as
ST LUKES MCCALL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2000
Last certification
Apr 28, 2022
Beds
15
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 1, 2010 (1 total)
Organization structure
OtherNon-profit
Incorporated
Jul 28, 2010 in ID
Enrollment address
1000 State St
McCall, ID 83638-3704
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
St Luke's McCallCCN 131312 · All quality measures
Type
Critical Access Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Lukes McCall LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

3525 E Louise Dr
Ste 400
Meridian, ID 83642

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Durmot Mark Durcan Individual Corporate DirectorBoard Member Oct 1, 2018
Lisa Grow Individual Corporate DirectorBoard Member Oct 1, 2018
Allan Korn Individual Corporate DirectorBoard Member Oct 1, 2018
Robert Lokken Individual Corporate DirectorBoard Member Oct 1, 2018
Andrew Scoggin Individual Corporate DirectorBoard Member Oct 1, 2018
Richard Raimondi Individual Corporate DirectorBoard Member Oct 1, 2018
Lucie a Dimaggio Individual Corporate DirectorBoard Member Oct 1, 2018
Daniel Krahn Individual Corporate DirectorBoard Member Oct 1, 2018
St Lukes Health System LTD Organization, Boise, ID Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2010 100%
Operational/Managerial Control Oct 1, 2010
Jon Miller Individual Corporate DirectorBoard Member Oct 1, 2018
Jared Grant Individual Corporate OfficerSystem Controller & Treasurer Jan 19, 2023
W-2 Managing EmployeeSystem Controller & Treasurer Jan 19, 2023
Karen Vauk Individual Corporate DirectorBoard Member Oct 1, 2018
Jacob Reid Individual Corporate OfficerPFM Administrator Sep 1, 2023
W-2 Managing EmployeePFM Administrator Sep 1, 2023
Kathryn Fowler Individual Corporate OfficerVP Operational Finance Feb 1, 2021
Corporate DirectorVP Operational Finance Feb 1, 2021
W-2 Managing EmployeeVP Operational Finance Feb 1, 2021
Rosa Davila Individual Corporate DirectorBoard Member Oct 1, 2021
William Whitacre Individual Corporate DirectorBoard Member Oct 1, 2018
Christopher Roth Individual Corporate OfficerPresident & Ceo Jan 31, 2020
Corporate DirectorPresident & Ceo Jan 31, 2020
W-2 Managing EmployeePresident & Ceo Oct 7, 2015
Robert Mueller Individual Corporate OfficerVP Revenue Cycle Apr 1, 2015
Corporate DirectorVP Revenue Cycle Apr 1, 2015
W-2 Managing EmployeeVP Revenue Cycle Apr 1, 2015
Thomas K Corrick Individual Corporate DirectorBoard Member Oct 1, 2018
Brigette Bilyeu Individual Corporate DirectorBoard Member Oct 1, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Lukes Clinic - Salmon River MedicalRiggins, ID, CCN 138516 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Practitioners 6

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.

Affiliated clinicians 271

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 271

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1235447970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2777",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837012777",
            "telephone_number": "208-706-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STATE ST",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836383704",
            "telephone_number": "208-634-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES MCCALL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "SENIOR VP, CFO",
        "authorized_official_telephone_number": "208-381-8717"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ID",
            "license": "11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWING BED PIN",
            "identifier": "13Z312",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McCall, ID

Sources for this page

Verify at the official NPI Registry.