Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Payette Lakes Medical Clinic, PA

Organization Primary Care Clinic/Center · NPI 1902937196

Payette Lakes Medical Clinic, PA is a Primary Care Clinic/Center in Donnelly, Idaho. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

454 Rosebury Rd Ste 103
Donnelly, ID 83615
Phone: (208) 325-4455
Fax: (208) 325-4466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1902937196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Bruns — Vp - Physician Services · (208) 634-4061
Other names Donnelly Medical Clinic
NPI enumeratedMarch 8, 2007
Last updated in NPPESMarch 17, 2008
Mailing addressPo Box 1047, McCall, ID 83638-1047