Organization
NORTH CANYON MEDICAL CENTER, INC
Active
Parent organization
EMERGENCY MEDICINE
Other names
North Canyon Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMERGENCY MEDICINE
Authorized official
MS. JOYCE ASTLE (PATIENT FINANCIAL DIRECTOR)
(208) 934-4433
Entity
Organization
Contact information
Practice address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4433
Mailing address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4433
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
363AM0700X
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609046671
—
ID
Enumeration date
09/20/2010
Last updated
04/24/2018
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