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DONNELLY MEDICAL CLINIC, A MMH PHYSICIAN CLINIC
NPI 1265564967
Clinic/Center - Critical Access Hospital in Donnelly, ID

Active since March 09, 2007
454 WEST ROSEBERRY RD, SUITE 103, DONNELLY, ID 83615(208) 325-4455(208) 325-4466 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Donnelly Medical Clinic, A Mmh Physician Clinic NPPES

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

DONNELLY MEDICAL CLINIC, A MMH PHYSICIAN CLINIC (NPI 1265564967) is a healthcare organization registered as a critical access hospital in Donnelly, Idaho and active in the NPI registry since March 2007. The organization lists Karen J Kellie, President, as its authorized official.

NPPES Registry Identity

NPI1265564967
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NameMCCALL MEMORIAL HOSPITAL
Location Address454 WEST ROSEBERRY RD, SUITE 103Donnelly, ID 83615
Mailing Address1000 State StMccall, ID 83638-3704 · (208) 634-2221 · Fax (208) 634-7112
Phone(208) 325-4455
Fax(208) 325-4466
Organization SubpartYes
Authorized OfficialKaren J KelliePresident · (208) 634-2221
Enumeration DateMarch 9, 2007
Last NPPES UpdateFebruary 15, 2008
✔ NPI 1265564967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
License✔ Licensed in ID · 11
Definition
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
454 WEST ROSEBERRY RD, SUITE 103, Donnelly, ID 83615
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Other Names 1

Doing Business AsDonnelly Medical Clinic, A Mmh Physician Clinic

Other Identifiers 4

Other8M977ID · Blue Cross Of Id Clinic
Medicare OSCAR/certification131312ID
Other000010159605ID · Regence Clinic Number
Medicare PIN1253002ID

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 Mccall Memorial Hospital's NPI number?

The NPI number for Mccall Memorial Hospital is 1265564967. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Donnelly Medical Clinic, A Mmh Physician Clinic.

Where is Mccall Memorial Hospital located?

Mccall Memorial Hospital is located at 454 West Roseberry Rd, Suite 103, Donnelly, ID 83615. The listed phone number is (208) 325-4455.

What is Mccall Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

When was this NPI record last updated?

The NPPES record for Mccall Memorial Hospital was last updated on February 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.