PAYETTE LAKES MEDICAL CLINIC, PA
NPI 1255462263
Clinic/Center - Primary Care in Mccall, ID

Active since March 08, 2007
211 FOREST STREET, MCCALL, ID 83638(208) 634-2225(208) 634-7212 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Payette Lakes Medical Clinic, Pa NPPES

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

PAYETTE LAKES MEDICAL CLINIC, PA (NPI 1255462263) is a healthcare organization registered as a primary care in Mccall, Idaho and active in the NPI registry since March 2007. The organization lists Jacqueline R. Bruns, Vp - Physician Services, as its authorized official.

NPPES Registry Identity

NPI1255462263
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePAYETTE LAKES MEDICAL CLINIC, PA
Location Address211 FOREST STREETMccall, ID 83638
Mailing AddressPo Box 1047Mccall, ID 83638-1047 · (208) 634-2225 · Fax (208) 634-7212
Fax(208) 634-7212
Organization SubpartNo
Authorized OfficialJacqueline R. BrunsVp - Physician Services · (208) 634-4061
Enumeration DateMarch 8, 2007
Last NPPES UpdateMarch 11, 2008
NPI 1255462263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
211 FOREST STREET, Mccall, ID 83638

Other Identifiers 3

Other000010006343ID · Blue Shield
Medicare PIN1372681ID
Other8934-2ID · Blue Cross

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery
211 FOREST STREET
MCCALL, ID 83638

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Payette Lakes Medical Clinic, PA's NPI number?

The NPI number for Payette Lakes Medical Clinic, PA is 1255462263. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Payette Lakes Medical Clinic, PA located?

Payette Lakes Medical Clinic, PA is located at 211 Forest Street, Mccall, ID 83638. The listed phone number is (208) 634-2225.

What is Payette Lakes Medical Clinic, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Payette Lakes Medical Clinic, PA was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.