Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Payette Lakes Medical Clinic, PA

Primary Care Clinic/Center in Mccall, ID · enumerated 2007 · authorized official Jacqueline Bruns, Vp - Physician Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255462263

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Registry record

Entity type Organization (Type 2)

Legal business name Payette Lakes Medical Clinic, PA

Practice address 211 Forest Street, Mccall, ID, 83638

Phone (208) 634-2225

Fax (208) 634-7212

Enumeration date Mar 8, 2007

Last updated in NPPES Mar 11, 2008

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jacqueline Bruns

Title Vp - Physician Services

Phone (208) 634-4061

Other identifiers

Identifier	Type	State	Issuer
8934-2	Other	ID	BLUE CROSS
000010006343	Other	ID	BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-03-11. Verify at npiregistry.cms.hhs.gov.

Where is Payette Lakes Medical Clinic, PA located?

The practice location on file with NPPES is in Mccall, ID.

Providers at this address

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Ihc, P.A. Orthopaedic Surgery Physician · Mccall, ID NPI 1376722934

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-11.