North Canyon Medical Center, Inc.

NPI #1518377019 in Gooding, Idaho

Provider Information

NPI Number
1518377019
Entity Type
Organization
Organization Name
North Canyon Medical Center, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
NORTH CANYON MEDICAL CENTER, INC.
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
May 6, 2014
Last Updated
Jun 16, 2018

Practice Location

Address
267 N. CANYON DRIVE
State
Idaho
ZIP Code
83330
Phone
(208) 934-4446

Authorized Official

Name
TIMOTHY POWERS
Title
CHIEF EXECUTIVE OFFICER
Phone
(208) 934-8765

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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