NORTH CANYON MEDICAL CENTER, INC; NPI #1376160457

Contact Information

NORTH CANYON MEDICAL CENTER, INC

491 HERITAGE DR
JEROME, ID 83338-6701

Phone: 208-644-7500
Fax: 208-644-7501
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for NORTH CANYON MEDICAL CENTER, INC

NPI #	`1376160457`
LBN Legal business name	NORTH CANYON MEDICAL CENTER, INC
Authorized official	SARA DEMOE - (CFO)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	07/06/2020
Last updated	01/29/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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