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Organization

NORTH CANYON MEDICAL CENTER, INC

Active
Parent organization
NORTH CANYON MEDICAL CENTER, INC.
Other names
North Canyon Jerome Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTH CANYON MEDICAL CENTER, INC.
Authorized official
SARA DEMOE (CFO)
(208) 934-9695
Entity
Organization

Contact information

Practice address
491 HERITAGE DR, JEROME, ID 83338-6701
(208) 644-7500
(208) 644-7501
Mailing address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4433
(208) 934-8643

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
07/06/2020
Last updated
01/29/2021
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