North Canyon Medical Center Inc., NPI 1609046671
Critical Access Hospital in Gooding, ID, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1609046671
NPI Entity Type Organization
Provider Name North Canyon Medical Center Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 267 North Canyon Drive, Gooding, ID, US
Provider Mailing Address 267 North Canyon Drive, Gooding, ID, US, 83330
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Sara Demoe
Official Position CONTROLLER
Phone 208-934-9695

Primary Taxonomy

Taxonomy Code

282NC0060X

Taxonomy Name Critical Access Hospital
Classification

General Acute Care Hospital

Group

Hospitals

License No. 19
License State ID
Description Definition to come.

Other Organization Name

North Canyon Medical Center
Doing Business As

Business Address

North Canyon Medical Center Inc.
267 North Canyon Drive

Gooding, ID, US

Phone: 208-934-4433
Fax: 208-934-8643

Mailing Address

North Canyon Medical Center Inc.
267 North Canyon Drive
Gooding, ID, US
ZIP 83330
Phone: 208-934-4433
Fax: 208-934-8643

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000010166504 ID REGENCE BLUE SHIELD EMERENCY ROOM 01
1609046671 ID NORTH CANYON MEDICAL CENTER 01
805657700 ID MEDICAID LIFELINE 01
000010166495 ID REGENCE BLUE SHIELD 01
002856400 ID MEDICAID 05
1518377019 ID GOODING FAMILY PHYSICIANS 01
185627500 DEPT OF LABOR 01
1952716540 ID JENNIFER PARSONS 01
614134000 ID DEPARTMENT OF LABOR 01
805694900 ID MEDICAID EMERGENCY ROOM 01
131302 ID MEDICARE 01
808314000 ID MEDICAID 05
1252103 TN CIGNA GOVERNMENT 01
1285925602 ID JENNIFER OLSEN 01
131302 ID MEDICARE BILLING NUMBER 01

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