NORTH CANYON MEDICAL CENTER, INC. (NPI# 1568950566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568950566 |
| Entity Type | Organization |
| Organization Name | NORTH CANYON MEDICAL CENTER, INC. |
| Other Organization Name | NORTH CANYON BUHL CLINIC |
| Practice Address |
718 Hwy 30 Buhl ID 83316 |
| Practice Telephone | 2089344433 |
| Practice Fax Number | 2089344442 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Authorized Official Name | TONI LEE (CLINIC MANAGER) |
| Authorized Official Telephone | 2089344446 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH CANYON MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| North Canyon Buhl Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
| 1275703241 | North Canyon Medical Center, Inc. | General Acute Care Hospital | 267 North Canyon Drive, Gooding, ID 83330-1858 | 2008-03-06 |
| 1619469525 | North Canyon Medical Center, Inc. | Health Educator | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2018-06-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH CANYON MEDICAL CENTER, INC. | 267 N Canyon Dr, Gooding, ID 83330-5500 |
| Street Address |
718 HWY 30 |
| City | BUHL |
| State | ID |
| Zip Code | 83316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336608868 | Tdc Buhl Pllc | Dentist | 529 Broadway Ave South, Buhl, ID 83316 | 2019-03-14 |
| 1679908297 | Brandon Keith Smith | Pharmacist | 419 Boadway Ave S, Buhl, ID 83316 | 2013-09-13 |
| 1891978839 | Sheila M Hunter | Counselor | 428 13th Ave. N, Buhl, ID 83316 | 2007-12-13 |
| 1558440313 | Jonathan Ragner Sander | Denturist | 124 11th Avenue North, Denture Center, Buhl, ID 83316 | 2006-11-03 |
| 1548354707 | Dana Leon Nofziger | Family Medicine | 709 Fair St, Buhl, ID 83316 | 2006-10-03 |
| 1649388091 | Con H Annest | Dentist | 529 South Broadway, Buhl, ID 83316 | 2006-08-27 |
| 1417060633 | John H Osterkamp | Dentist | 709 Fair Ave, Buhe, ID 83316 | 2006-08-15 |
| 1386630531 | Justin Ray Cleverley | Chiropractor | 800 Main St, Buhl, ID 83316-1236 | 2005-09-23 |
| 1609277276 | Rorri Henstock | Massage Therapist | 800 Main St, Buhl, ID 83316-1236 | 2014-09-15 |
| 1972780260 | Clebverley Chiropractic | Chiropractor | 800 Main St, Buhl, ID 83316-1236 | 2008-01-29 |
| Find all providers in zip 83316 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160457 | North Canyon Jerome Clinic | Clinic/Center | 491 Heritage Dr, Jerome, ID 83338-6701 | 2020-07-06 |
| 1063970143 | Idaho Street Medical Clinic | Clinic/Center | 126 Idaho Ave., Homedale, ID 83628-8362 | 2019-03-07 |
| 1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
| 1700206588 | Mvh Bmc LLC | Clinic/Center | 210 S Emerson Ave, Shelley, ID 83274-1229 | 2014-04-21 |
| 1922243088 | Bmh Inc | Clinic/Center | 1355 Parkway Dr, Blackfoot, ID 83221-1656 | 2008-12-03 |
| 1023271731 | Upper Valley Family Medicine Rhc | Clinic/Center | 530 Rigby Lake Dr, Rigby, ID 83442-1271 | 2008-07-03 |
| 1891984167 | Bmh Inc | Clinic/Center | 1425 Parkway Drive, Blackfoot, ID 83221-1758 | 2007-10-23 |
| 1043387426 | Minidoka Memorial Hospital | Clinic/Center | 1308 8th St, Suite 1, Rupert, ID 83350-1530 | 2006-11-29 |
| 1356438816 | Gritman Medical Center Inc | Clinic/Center | 156 6th St, Potlatch, ID 83855 | 2006-10-06 |
| 1245267467 | Hti Physican Services of Utah,inc | Clinic/Center | 124 5th Street, Suite A, Wilder, ID 83676-0037 | 2006-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.