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NORTH CANYON MEDICAL CENTER INC. NPI 1609046671


NPI Information

NPI: 1609046671
Provider Name: NORTH CANYON MEDICAL CENTER INC.

Doing Business As: NORTH CANYON MEDICAL CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
267 NORTH CANYON DRIVE
GOODING, ID
ZIP 83330
Phone: (208) 934-4433
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NORTH CANYON MEDICAL CENTER INC. is a critical access general acute care hospital in Gooding, ID. NORTH CANYON MEDICAL CENTER INC. NPI is 1609046671. The provider is registered as an organization entity type.
The provider Is Doing Business As North Canyon Medical Center.

The provider's business location address is:

267 NORTH CANYON DRIVE
GOODING, ID
ZIP 83330-858
Phone: (208) 934-4433
Fax: (208) 934-8643

The provider's authorized official is Sara Demoe .
The authorized official title is Controller and has the following contact phone number (208) 934-9695.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282NC0060XGeneral Acute Care HospitalCritical Access19IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000010166504OTHERIDAHOREGENCE BLUE SHIELD EMERENCY ROOM
2614134000OTHERIDAHODEPARTMENT OF LABOR
3805657700OTHERIDAHOMEDICAID LIFELINE
4131302OTHERIDAHOMEDICARE BILLING NUMBER
51518377019OTHERIDAHOGOODING FAMILY PHYSICIANS
6185627500OTHERDEPT OF LABOR
71285925602OTHERIDAHOJENNIFER OLSEN
81252103OTHERTENNESSEECIGNA GOVERNMENT
91952716540OTHERIDAHOJENNIFER PARSONS
10002856400MEDICAIDIDAHO
11805694900OTHERIDAHOMEDICAID EMERGENCY ROOM
121609046671OTHERIDAHONORTH CANYON MEDICAL CENTER
13000010166495OTHERIDAHOREGENCE BLUE SHIELD
14131302OTHERIDAHOMEDICARE
15808314000MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.