Organization
NORTH CANYON MEDICAL CENTER, INC
Active
Parent organization
DIAGNOSTIC IMAGING
Other names
North Canyon Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAGNOSTIC IMAGING
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
174400000X
Specialist
Primary
174400000X
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609046671
—
ID
Enumeration date
09/20/2010
Last updated
09/05/2017
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