INTEGRATIVE MEDICINE CLINIC
NPI 1336200096
Clinic/Center - Critical Access Hospital in Mccall, ID

NPI Status: Active since December 13, 2006

Contact Information

203 HEWITT ST
MCCALL, ID
ZIP 83638
Phone: (208) 634-1400

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  • Organization
  • Clinic/Center
  • Critical Access Hospital

About INTEGRATIVE MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Integrative Medicine Clinic, a provider established in Mccall, Idaho operating as a Clinic/center, focusing in critical access hospital . The healthcare provider is registered in the NPI registry with number 1336200096 assigned on December 2006. The practitioner's primary taxonomy code is 261QC0050X with license number 11 (ID). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Integrative Medicine Clinic. The authorized official of this NPI record is Karen J Kellie (President Administrator)

NPI
1336200096
Provider Legal Name
MCCALL MEMORIAL HOSPITAL
Other Organization Name
INTEGRATIVE MEDICINE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
203 HEWITT ST MCCALL, ID 83638
Location Phone
(208) 634-1400
Mailing Address
1000 STATE ST MCCALL, ID 83638
Mailing Phone
(208) 634-2221
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2006
Last Update Date
08-27-2008
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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

Clinic/Center Critical Access Hospital

Taxonomy Code
261QC0050X
Type
Ambulatory Health Care Facilities
License No.
11
License State
ID
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAREN J KELLIE

Authorized Official Title
PRESIDENT ADMINISTRATOR
Authorized Official Phone
(208) 634-2221

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
131312MEDICARE OSCAR/CERTIFICATION (06)ID 
8M924OTHER (01)IDBLUE CROSS CLINIC #

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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.
1336200096
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366400018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 4 + 0 + 0 + 0 + 1 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1336200096 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356590822 ELIZABETH OSTERMILLER L.AC., M.AC.
Individual
Acupuncturist203 HEWITT ST
MCCALL, ID 83638
(208) 634-1400
1598914145 WENDY CARSON
Individual
Massage Therapist203 HEWITT ST
MCCALL, ID 83638
(208) 634-1400
1992954622 RACHEL ARNDT R.D.L.D.
Individual
Dietitian, Registered203 HEWITT ST
MCCALL, ID 83638
(208) 634-1400
1790935427 CONNIE MCCLARAN R.N.
Individual
Registered Nurse203 HEWITT ST
MCCALL, ID 83638
(208) 634-1400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336200096, enumerated in the NPI registry as an "organization" on December 13, 2006

The provider is located at 203 Hewitt St Mccall, Id 83638 and the phone number is (208) 634-1400

This medical organization specializes in Clinic/Center with taxonomy code 261QC0050X with a focus in Critical Access Hospital

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 13, 2006. 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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