ST LUKES PAYETTE LAKES MEDICAL CLINIC – NPI #1245503614
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ST LUKES PAYETTE LAKES MEDICAL CLINIC is a provider located in MCCALL, ID. NPPES has assigned the NPI number 1245503614 to ST LUKES PAYETTE LAKES MEDICAL CLINIC on February 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST LUKES PAYETTE LAKES MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is ST LUKES MCCALL LTD. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST LUKES PAYETTE LAKES MEDICAL CLINIC below.

NPI Profile for
ST LUKES MCCALL LTD

NPI Number
1245503614
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST LUKES MCCALL LTD
Doing Business As (dba): ST LUKES PAYETTE LAKES MEDICAL CLINIC
Primary location
211 FOREST ST
MCCALL, ID 83638-5256
Phone: (208) 634-2225 Fax:
Mailing address
1000 STATE ST
MCCALL, ID 83638-3704
Phone: (208) 381-2222 Fax:
Organization Subpart
Yes - ST LUKES PAYETTE LAKES MEDICAL CLINIC is subpart of another organization.
Authorized Official
JEFF TAYLOR
SYSTEM VP CFO
Phone: (208) 381-2520
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
ID 11
207QA0505X
- Family Medicine / Adult Medicine
ID 11
207QA0000X
- Family Medicine / Adolescent Medicine
ID 11

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.