Organization Name: | MCCALL MEMORIAL HOSPITAL |
NPI Number: | 1669534756 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN J KELLIE (PRESIDENT ADMINISTRATOR) |
Mailing Address: | 1000 State St Mccall |
State: | ID US |
Postal Code: | 836383704 |
Phone Number: | 2086342221 |
Fax Number: | 2086347112 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | NP454A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |