| St Luke's Payette Lakes Medical Clinic | |
|
211 Forest St Mccall ID 83638-5256 | |
| (208) 634-2225 | |
| Not Available |
| Full Name | St Luke's Payette Lakes Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 211 Forest St, Mccall, Idaho |
| Authorized Official Name and Position | Jeff Taylor (SYSTEM VP CFO) |
| Authorized Official Contact | 2083812520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Luke's Payette Lakes Medical Clinic 211 Forest St Mccall ID 83638-5256 Ph: (208) 634-2225 | St Luke's Payette Lakes Medical Clinic 211 Forest St Mccall ID 83638-5256 Ph: (208) 634-2225 |
| NPI Number | 1770886384 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 12/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770886384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11 (Idaho) | Primary |
| 207V00000X | Obstetrics & Gynecology | 11 (Idaho) | Secondary |
| 363L00000X | Nurse Practitioner | 11 (Idaho) | Secondary |
St Lukes Payette Lakes Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Forest St, Mccall, ID 83638 Phone: 208-634-2225 | |
Payette Lakes Medical Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Forest Street, Mccall, ID 83638 Phone: 208-634-2225 Fax: 208-634-7212 | |
Urgent Health Care P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 N 3rd St, Suite B, Mccall, ID 83638 Phone: 208-315-4390 | |
Jennifer Paulson Np, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Park St, Mccall, ID 83638 Phone: 208-607-3738 Fax: 208-369-9274 |