NORTH CANYON MOUNTAIN HOME CLINIC


Address: 840 N 4th E, Mountain Home, ID 83647-2166
Phone: 2089348829

NORTH CANYON MOUNTAIN HOME CLINIC (NPI# 1649759374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649759374
Entity Type Organization
Organization Name NORTH CANYON MOUNTAIN HOME CLINIC
Practice Address 840 N 4th E
Mountain Home
ID 83647-2166
Mailing Address 267 N Canyon Dr
Gooding
ID 83330-5500
Practice Telephone 2089348829
Practice Fax Number 2089344874
Mailing Telephone 2089344433
Enumeration Date 2018-08-13
Last Update Date 2018-08-13
Authorized Official Name TIM POWERS (CEO)
Authorized Official Telephone 2089348765
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center ID Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ID 1184932584 05

Office Location

Street Address 840 N 4TH E
City MOUNTAIN HOME
State ID
Zip Code 83647-2166

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336784081 Robin Amber Nettleton Nurse Practitioner 840 N 4th E, Mountain Home, ID 83647-2166 2019-11-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528684370 The Unruly Tongue Myofunctional Therapy LLC Specialist 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 2020-06-17
1740767284 Kelly Loy Counselor 210 North 3rd East, Mountain Home, ID 83647 2018-07-27
1891247912 Daelene Sueann Tibbitts Physical Therapy Assistant 1665 E 5th N, Mountain Home, ID 83647 2016-10-25
1689065765 Emma Orthel Counselor 2240 American Legion Blvd, Mountain Home, ID 83647 2015-02-11
1073692166 Krzysztof Hendryk Ziola Internal Medicine 2280 American Legion Blvd., Mountain Home, ID 83647 2006-11-02
1952482440 Michael Peter Koelsch Internal Medicine 805 North 6th East, Mountain Home, ID 83647 2006-10-18
1124113709 Talmage W Delange Counselor 235 North 3rd East, Mountain Home, ID 83647 2006-10-03
1225044019 Scott W Sessions Physical Therapist 245 N. 3rd, Mountain Home, ID 83647 2006-07-31
1750370730 Kyle J Kenison Optometrist 855 West 6th South, Mountain Home, ID 83647 2005-10-21
1285628156 Bruce Joseph Siedlecki Obstetrics & Gynecology Mtn.home Aif Force Base, Mdos, Mtn. Home, ID 83647 2005-09-07
Find all providers in zip 83647

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992219190 Legarde Chiropractic & Wellness, Pllc Clinic/Center 230 Highway 5 N Ste 30, Mountain Home, AR 72653-3030 2017-11-27
1801221189 Foreman Family Chiropractic Clinic/Center 510 South College Street, Mountain Home, AR 72653-3274 2013-09-05
1437423472 Baxter County Regional Hospital, Inc Clinic/Center 614 Broadmoor Dr, Mountain Home, AR 72653-2903 2012-03-07
1659555654 Emile Victor Hamm Clinic/Center Corner of Lamont and Sydney Street Bldg 160, James H. Quillen Vamc, Mountain Home, TN 37684 2007-12-27
1023639614 Vitality Plus LLC Clinic/Center 501 Hospital Dr, Mountain Home, AR 72653-2912 2020-05-05
1982167029 Melissa Dirst-roberts Pllc Clinic/Center 860 Highway 62 E Ste 10, Mountain Home, AR 72653-3200 2019-04-06
1598030579 Baxter County Regional Hospital Inc Clinic/Center 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 2012-03-09
1295991917 Joseph Long Dc Pa Clinic/Center 1 Medical Plz, Mountain Home, AR 72653-2918 2008-08-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992323216 Wolf Pack LLC Clinic/Center 939 S 25th E Ste 115, Ammon, ID 83406-5736 2020-07-13
1831730118 Falls Medical Aesthetics, Pllc Clinic/Center 814 Pancheri Dr, Idaho Falls, ID 83402-3344 2019-10-08
1164072187 Peter John Leichtnam Clinic/Center 1200 W Ironwood Dr Ste 309, Coeur D Alene, ID 83814-2660 2019-09-12
1124674437 Michael J. Moorhouse Inc. Clinic/Center 13900 W Wainwright Dr Ste 100, Boise, ID 83713-5028 2019-08-13
1093368276 Korena Popp Fnp Medical Services LLC Clinic/Center 454 W Roseberry Rd. Ste 104, Donnelly, ID 83615-8361 2019-07-17
1528623915 D & S Works Clinic/Center 5622 W State St, Boise, ID 83703-3010 2019-05-01
1609335090 Hurst Medical Pllc Clinic/Center 1700 Overland Ave Ste 1, Burley, ID 83318 2019-03-15
1912487646 Ideal Option, Pllc Clinic/Center 509 W Hanley Ave Ste 101, Coeur D Alene, ID 83815-8994 2018-08-21
1801376256 Ideal Option, Pllc Clinic/Center 1111 Blue Lakes Blvd N Ste E, Twin Falls, ID 83301-3437 2018-08-15
1104316785 Pend Oreille Vision Care Clinic/Center 6132 Highway 2, Priest River, ID 83856 2018-05-18
Find all providers with the same taxonomy

Competitor

Search similar providers

City MOUNTAIN HOME
Zip Code 83647

Improve Information

Please comment or provide details below to improve the information on NORTH CANYON MOUNTAIN HOME CLINIC.

Dataset Information

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.

Trending Searches