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MID LEVEL PRACTITIONER GROUP
NPI 1790846392
Physician Assistant - Medical in Mccall, ID

Active since December 13, 2006
1000 STATE ST, MCCALL, ID 83638(208) 634-2221(208) 634-7112 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mid Level Practitioner Group NPPES

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

MID LEVEL PRACTITIONER GROUP (NPI 1790846392) is a healthcare organization registered as a medical in Mccall, Idaho and active in the NPI registry since December 2006. The organization lists Karen J Kellie, President Administrator, as its authorized official.

NPPES Registry Identity

NPI1790846392
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameMCCALL MEMORIAL HOSPITAL
Location Address1000 STATE STMccall, ID 83638-3704
Mailing Address1000 State StMccall, ID 83638-3704 · (208) 634-2221 · Fax (208) 634-7112
Phone(208) 634-2221
Fax(208) 634-7112
Organization SubpartNo
Authorized OfficialKaren J KelliePresident Administrator · (208) 634-2221
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790846392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · 11
1000 STATE ST, Mccall, ID 83638
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Other Names 1

Other NameMid Level Practitioner Group

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

Other Providers at the Same Location NPPES 20

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

ST LUKES MCCALL, LTD
Medicare Defined Swing Bed Unit
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-4061
ELENA KATHERINE PHOUTRIDES MD
Family Medicine
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-2221
ST LUKES MCCALL LTD
General Acute Care Hospital (Critical Access)
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-2221
DR. DAVID G. BURICA MD
Internal Medicine
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-1776
TIFFANY M DOBBS I
Massage Therapist
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-1400
JACKIE J TURNIPSEED-AYMON PA-C
Physician Assistant
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-1776
PLANET THREE RADIOLOGY, INC.
Radiology (Diagnostic Radiology)
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-2221
ANDREA LINGLE
Pharmacist
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 630-2283

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 1790846392. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is also known as Mid Level Practitioner Group.

Where is Mccall Memorial Hospital located?

Mccall Memorial Hospital is located at 1000 State St, Mccall, ID 83638. The listed phone number is (208) 634-2221.

What is Mccall Memorial Hospital's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mccall Memorial Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.