Salmon River 214 N. Main Street Riggins, Idaho 83549 (208) 628-3666 Directions / Map Office Hours: Physician appointments available Tuesday and Thursday afternoons. Family Nurse Practitioner appointments available Monday, Wednesday, and Thursday.

Services
We have a wide scope of practice, including:

• Women's Health
• Obstetrics
• Treatment of Acute Illnesses
• Annual Exams
• Immunizations (children and adults)
• Family Planning
• Skin Biopsies and Lesion Removal
• Wellness and Preventive Care
• Childhood Diseases
• Diabetes Management for Children, Adolescents, and Adults
• Sports Medicine

If your health issues require specialized care, we will help refer you to the appropriate specialist.

New Patients / Appointments
Same day appointments are available. Call in the morning for appointment availability.
We are accepting new patients.
To contact us or to make an appointment please call (208) 628-3666.

Billing Inquires: (208) 634-2225

After-hours and Weekends
A physician is always available on call at the Emergency Department at St. Luke's McCall. If you have a medical emergency, please call 911.

What is Family Medicine?
Family Medicine doctors are trained to care for patients of all ages, from infancy through the end of life. We promote the concept of a Medical Home, emphasizing a continuous relationship with a personal physician coordinating care for both wellness and illness. We believe that knowing you over many years, and knowing your family, helps us understand how your health care impacts your life.

St. Luke's Family Medicine physicians diagnose and treat most medical issues, from infections and sprains to diabetes and asthma. We also specialize in preventive care to help you create and maintain a healthy lifestyle. And when your condition requires a specialist, we can coordinate your care with other physicians and can help you navigate your way through today's health care.

St. Luke's Clinics
St. Luke’s Clinics are an integrated network of highly skilled health care professionals in locations throughout our region.

Our Medical Providers

	Dr. David Hall graduated from the University of Washington in Seattle in 1985 with a Bachelor of Science degree in biology. He also earned a French degree from Universitè de Grenoble in France. He earned his medical degree from Tufts University in Boston in 1991 and completed his residency at Family Practice Residency of Idaho in Boise in 1994. Dr. Hall joined Payette Lakes Medical Clinic in 1994. His professional interests include obstetrics, the care of newborns and children, preventive medicine for all ages, dermatologic procedures, and sports medicine.
	Terri Mucha, MD graduated from the University of Michigan in Ann Arbor in 1994 with a Bachelor of Science degree in industrial and operations engineering. She earned her medical degree from the University of Ohio in Columbus in 2004, and completed her family medicine residency at the St. Mary’s Family Practice Residency Program in Grand Junction, Colorado in 2007. She joined Payette Lakes Medical Clinic that same year. Dr. Mucha’s professional interests include full spectrum family medicine; she enjoys its broad nature of duties, from urgent care to minor office surgery. In addition, she enjoys playing a role in the administration of health care.
	Rachelle Hamell, FNP graduated from Boise State University in 1993 with a Bachelor of Science degree in nursing. Rachelle joined Salmon River Medical Clinic and Payette Lakes Medical Clinic in 1984. She returned to school and earned her Master of Science degree for nurse practitioner from Idaho State University in Pocatello in 1997. Rachelle and her husband have been happy to live in and raise two daughters in Riggins. For the past 12 years she has had the privilege to provide many aspects of family medicine to the community, including pediatrics, preventive medicine, and acute care.

Your Appointment
We try to stay on time, as a courtesy to you and others. Since paperwork may take a few minutes, please arrive early. As emergencies do occur, there may be occasions when your appointment time will be delayed. We will always try to keep you informed in the event of a delay, and will be happy to reschedule your appointment, if you prefer. We ask that you respect the appointment time we have reserved for you, and call 24 hours ahead to cancel or change appointments so that others may be helped during that time.

Communication with your provider is extremely important. It may be helpful for you to write down questions for your doctor or nurse practitioner prior to your visit. Bring a list of medications and the dosages, or bring the bottles with you.

Make sure you understand any instructions you are given. If clarification is needed, review your instructions with the provider or medical assistant before you leave. If you aren’t doing well after your visit, we want to hear from you. Our goal is to improve your health.

Insurance Plans
We accept most insurance plans, including Medicare, in-state Medicaid, Tricare, Blue Cross/Blue Shield, and others.

Medication Refills
Talk with your provider at each visit to be sure your prescriptions are up to date. For refills, contact your pharmacy. Your pharmacy will then contact our office for verification and approval. For patient safety, narcotics cannot be refilled outside of office hours. Talk with your provider before your prescription runs out, and please allow 48 hours for refills.