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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