Mid Level Practitioner Group

LBN: Mccall Memorial Hospital
Mid Level Practitioner Group is an health care organization with primary practice located at 1000 State St , Mccall ID 83638-3704. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as the primary health care specialty. Mccall Memorial Hospital can be contacted via phone (208) 634-2221, or through Kellie, Karen J via phone (208) 634-2221.

Contact Information

Primary practice address
1000 State St Mccall ID 83638-3704
Phone: (208) 634-2221
Fax: (208) 634-7112
Website:
Map and Directions
Authorized official contact:
Name: Kellie, Karen J
Phone: (208) 634-2221

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 11 Idaho

Profile Details

NPI number 1790846392
LBN Legal business name Mccall Memorial Hospital
DBA Doing business as Mid Level Practitioner Group
Authorized official Kellie, Karen J
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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