# NORTH CANYON MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIAGNOSTIC IMAGING
- **Other names:** North Canyon Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558679951
- **Legal business name:** DIAGNOSTIC IMAGING
- **Authorized official:** MS. JOYCE ASTLE (PATIENT FINANCIAL DIRECTOR)
- **Authorized official phone:** (208) 934-4433

## Contact information

- **Practice address:** 267 N CANYON DR, GOODING, ID 83330-5500
- **Practice address phone:** (208) 934-4433
- **Mailing address:** 267 N CANYON DR, GOODING, ID 83330-5500
- **Mailing address phone:** (208) 934-4433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 174400000X | ID | Yes |

## Other

- **Enumeration date:** 09/20/2010
- **Last updated:** 09/05/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1609046671 | — | ID |