Organization
NORTH CANYON MEDICAL CENTER, INC.
Active
Organization
NORTH CANYON MEDICAL CENTER, INC.
Active
Other names
North Canyon Medical Center, Partner's In Healthcare,Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L POWERS (CEO)
(208) 934-4433
Entity
Organization
Contact information
Practice address
267 NORTH CANYON DRIVE, GOODING, ID 83330-1858
(208) 934-4433
(208) 934-8643
Mailing address
267 NORTH CANYON DRIVE, GOODING, ID 83330-1858
(208) 934-4433
(208) 934-8643
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
282NC0060X
Critical Access Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002857200
—
ID
05
—
1275703241
—
ID
01
—
138520
RURAL HEALTH CLINIC
ID
01
—
13Z302
MEDICARE BILLING NUMBER
ID
Enumeration date
03/06/2008
Last updated
06/16/2018
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