NORTH CANYON MEDICAL CENTER, INC.; NPI #1518377019

Contact Information

NORTH CANYON MEDICAL CENTER, INC.

267 N. CANYON DRIVE
GOODING, ID 83330

Phone: 208-934-4446
Fax: 208-934-4442
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 # 1518377019

LBN Legal business name NORTH CANYON MEDICAL CENTER, INC.

Authorized official TIMOTHY POWERS - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/06/2014

Last updated 06/16/2018 - About 8 years ago

Identifiers

ID	Other	1609046671	NORTH CANYON MEDICAL CENTER
ID	Other	1518377019	RHC
ID	Other	138520	UNSPECIFIED

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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