ST LUKES PAYETTE LAKES MEDICAL CLINIC
NPI 1245503614
Family Medicine in Mccall, ID

Q: What is St Lukes Mccall Ltd's NPI number?

The NPI number for St Lukes Mccall Ltd is 1245503614. It was assigned to this organization in the NPPES registry on February 16, 2012. The provider is doing business as St Lukes Payette Lakes Medical Clinic.

Q: What is St Lukes Mccall Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 16, 2012

211 FOREST ST, MCCALL, ID 83638(208) 634-2225 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About St Lukes Payette Lakes Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST LUKES PAYETTE LAKES MEDICAL CLINIC (NPI 1245503614) is a healthcare organization registered as a family medicine in Mccall, Idaho and active in the NPI registry since February 2012. The organization lists Jeff Taylor, System Vp Cfo, as its authorized official.

NPPES Registry Identity

NPI1245503614

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameST LUKES MCCALL LTD

Location Address211 FOREST STMccall, ID 83638-5256

Mailing Address1000 State StMccall, ID 83638-3704 · (208) 381-2222

Phone(208) 634-2225

Organization SubpartYes

Authorized OfficialJeff TaylorSystem Vp Cfo · (208) 381-2520

Enumeration DateFebruary 16, 2012

✔ NPI 1245503614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · 11

Definition

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.

Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License 11 (ID)

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 11 (ID)

211 FOREST ST, Mccall, ID 83638

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Other Names 1

Doing Business AsSt Lukes Payette Lakes Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D2081826

St Luke's Payette Lakes Medical Clinic · Mccall, ID

Expired · Jul 30, 2026

CLIA Number13D2081826

Laboratory TypeCommunity Clinic

Certificate Effective DateJuly 31, 2024

Certificate Expiration DateJuly 30, 2026

Laboratory DirectorSarah Curtin

Laboratory Phone(208) 630-2225

Laboratory LocationSt Luke's Payette Lakes Medical Clinic211 Forest St, Mccall, ID 83638

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY K. BENNETT M.D.

Dermatology