North Canyon Medical Center, Inc.

NPI #1619469525 in Gooding, Idaho

Provider Information

NPI Number: 1619469525
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: Health Educator
Enumeration Date: Jun 6, 2018
Last Updated: Jun 6, 2018

Practice Location

Address: 267 N CANYON DR
City: Gooding
State: Idaho
ZIP Code: 83330-5500
Phone: (208) 934-9886

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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