McCall Memorial Hospital

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

11 Issued in ID

Legal business name

MCCALL MEMORIAL HOSPITAL

Practice address

1000 State St
McCall, ID 83638-3704

Phone

(208) 634-2221

Fax

(208) 634-7112

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Karen J Kellie

Title

President Administrator

Phone

(208) 634-2221

Specialties & licenses 1

Addresses

Other names 1

• Swing Bed Other name

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619039732",
    "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": "1000 STATE ST",
            "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": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLIE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT ADMINISTRATOR",
        "authorized_official_telephone_number": "208-634-2221"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "ID",
            "license": "11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swing Bed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• McCall Medical Clinics
• McCall Memorial Hospital
• McCall Memorial Hospital
• McCall Memorial Hospital
• McCall Memorial Hospital
• McCall Memorial Hospital
• McCall Memorial Hospital
• McCall Physical Therapy, P.a.
• McCall-Donnelly Joint School District 421
• McCall-Donnelly School District #421

• Medicare Defined Swing Bed Hospital Unit in McCall, ID
• Providers in McCall, ID by specialty
• Medicare Defined Swing Bed Hospital Unit in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.