ST LUKES PAYETTE LAKES MEDICAL CLINIC
NPI 1245503614
Family Medicine in Mccall, ID
NPI Status: Active since February 16, 2012
- Organization
- Family Medicine
- CLIA Number: 13D2283397
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 06-06-2027
About ST LUKES PAYETTE LAKES MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for St Lukes Payette Lakes Medical Clinic, a primary care provider established in Mccall, Idaho operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1245503614 assigned on February 2012. The practitioner's primary taxonomy code is 207Q00000X with license number 11 (ID). The provider is registered as an organization and their NPI record was last updated 14 years ago. St Lukes Payette Lakes Medical Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as St Lukes Payette Lakes Medical Clinic. The authorized official of this NPI record is Jeff Taylor (System Vp Cfo)
- NPI
- 1245503614
- Provider Legal Name
- ST LUKES MCCALL LTD
- Other Organization Name
- ST LUKES PAYETTE LAKES MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 211 FOREST ST MCCALL, ID 83638
- Location Phone
- (208) 634-2225
- Mailing Address
- 1000 STATE ST MCCALL, ID 83638
- Mailing Phone
- (208) 381-2222
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-16-2012
- Last Update Date
- 02-16-2012
- Code Navigator
A primary care provider (PCP) like St Lukes Payette Lakes Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 11
- License State
- ID
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207QA0000X | Allopathic & Osteopathic Physicians | Family Medicine | 11 (ID) |
| 2 | 207QA0505X | Allopathic & Osteopathic Physicians | Family Medicine | 11 (ID) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2283397
- Facility Type
- Community Clinic
- Certificate Effective Date
- June 07, 2025
- Certificate Expiration Date
- June 06, 2027
- Laboratory Director
- SARAH A. CURTIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to St Lukes Payette Lakes Medical Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 5 | 0 | 3 | 6 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 10 | 0 | 6 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 0 + 0 + 6 + 6 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1245503614 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689715864 | EDDIE DROGE MD Individual | Family Medicine | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
| 1770886384 | ST LUKE'S MCCALL LTD Organization | Family Medicine | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
| 1295764405 | CAITLIN J. GUSTAFSON MD Individual | Family Medicine | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
| 1487795605 | JULIE L. WELTY MD Individual | Family Medicine | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
| 1538258850 | SARAH A. CURTIN MD Individual | Family Medicine | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
| 1669513859 | SCOTT S. HARRIS MD Individual | Family Medicine | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
| 1902948516 | DAVID A. HALL MD Individual | Family Medicine | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
| 1508153784 | KARL F JOHNSON PHARM D. Individual | Pharmacist (Ambulatory Care) | 211 FOREST ST MCCALL, ID 83638 (208) 630-2568 |
| 1700376712 | ELYNN E SMITH MD Individual | Family Medicine | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
| 1134693419 | MALLORIE LEIGH GETTO LCSW Individual | Social Worker (Clinical) | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
| 1629846423 | MATTHEW THOMAS CARR Individual | Physician Assistant | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
| 1821538471 | LAUREN PARKER NP-C Individual | Nurse Practitioner (Primary Care) | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
| 1215714373 | ST LUKES REGIONAL MEDICAL CENTER Organization | Pharmacy | 211 FOREST ST MCCALL, ID 83638 (208) 706-5255 |
| 1346878881 | TAYLOR LEIGH SIMMONS-RICHELIEU MD Individual | Family Medicine | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
| 1124083266 | LINDSEY K. BENNETT M.D. Individual | Internal Medicine | 211 FOREST ST MCCALL, ID 83638 (208) 634-2225 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245503614, enumerated in the NPI registry as an "organization" on February 16, 2012
The provider is located at 211 Forest St Mccall, Id 83638 and the phone number is (208) 634-2225
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 13D2283397 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on February 16, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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