NPI age
19 years
Enumerated 2007-03-09
● Active Type 2 · Organization
Subpart
McCall Memorial Hospital
McCall Memorial Hospital is 1 of 6 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kellie
President
Last NPPES update
2008-02-15
Source: monthly bulk 2026-05
How this organization compares
Across 6 active clinic/center providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
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
454 West Roseberry Rd, Suite 103
Donnelly, ID 83615
Mailing address
1000 State St
McCall, ID 836383704
Authorized official
Karen J Kellie
President
📞 2086342221
Specialties
-
Clinic/Center PrimaryAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010159605 | REGENCE CLINIC NUMBER |
| 01 (ID) | 8M977 | BLUE CROSS OF ID CLINIC |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Donnelly Medical Clinic, a MMH Physician Clinic
Practice context
Single-site organization. Only one practice location on file.
Subpart of McCall Memorial Hospital.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.