McCall Memorial Hospital

Primary specialty

Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X

License

11 Issued in ID

Legal business name

MCCALL MEMORIAL HOSPITAL

Doing business as

McCall Therapy Services

Practice address

1010 State Street
McCall, ID 83638-3704

Phone

(208) 634-2221

Fax

(208) 634-7112

NPI assigned

Aug 9, 2006

Last updated

May 6, 2010By the provider in NPPES

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

Mr. Matt Groenig

Title

VP Finance

Phone

(208) 634-2221

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• McCall Therapy Services Doing business as

Part of

McCall Memorial Hosp DME

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1265442388",
    "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": "1010 STATE STREET",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836383704",
            "telephone_number": "208-634-2221",
            "fax_number": "208-634-7112"
        }
    ],
    "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": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "GROENIG",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "208-634-2221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "ID",
            "license": "11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CLINIC GRP #",
            "identifier": "8J612",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806937700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE CLINIC GRP #",
            "identifier": "000010147637",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807424900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCall Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McCall Dental Care - Ad, PLLC
• McCall Fire Protection District (McCall Fire & EMS)
• McCall Healthcare LLC (McCall Rehabilitation and Care Center)
• McCall Medical Clinics
• McCall Memorial Hospital (Dr. David G. Burica, A MMH Physician Clinic)
• McCall Memorial Hospital (Integrative Medicine Clinic)
• McCall Memorial Hospital
• McCall Memorial Hospital
• McCall Memorial Hospital
• McCall Memorial Hospital

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.