OrganizationActive
Payette Lakes Medical Clinic, PA
NPI 1255462263 · Primary Care Clinic/Center · Mccall, ID
Provider details
- NPI number
- 1255462263
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacqueline Bruns, Vp - Physician Services(208) 634-4061
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
211 Forest Street
Mccall, ID 83638
Phone: (208) 634-2225
Fax: (208) 634-7212
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1047
Mccall, ID 83638-1047
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2008-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.