NPI age
19 years
Enumerated 2007-03-08
● Active Type 2 · Organization
Payette Lakes Medical Clinic, PA
Payette Lakes Medical Clinic, PA is 1 of 104 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bruns
Vp - Physician Services
Last NPPES update
2008-03-11
Source: monthly bulk 2026-05
How this organization compares
Across 104 active clinic/center providers in Idaho.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
211 Forest Street
McCall, ID 83638
Mailing address
Po Box 1047
McCall, ID 836381047
Authorized official
Jacqueline R. Bruns
Vp - Physician Services
📞 2086344061
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Todd Arndt, MD Family Medicine NPI 1265454276
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8934-2 | BLUE CROSS |
| 01 (ID) | 000010006343 | BLUE SHIELD |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.