| North Canyon Medical Center, Inc. | |
|
718 Hwy 30 Buhl ID 83316 | |
| (208) 934-4433 | |
| (208) 934-4442 |
| Full Name | North Canyon Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 718 Hwy 30, Buhl, Idaho |
| Authorized Official Name and Position | Toni Lee (CLINIC MANAGER) |
| Authorized Official Contact | 2089344446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Canyon Medical Center, Inc. 718 Hwy 30 Buhl ID 83316 Ph: () - | North Canyon Medical Center, Inc. 718 Hwy 30 Buhl ID 83316 Ph: (208) 934-4433 |
| NPI Number | 1568950566 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 04/25/2018 |
| Medicare PECOS PAC ID | 0941371439 |
|---|---|
| Medicare Enrollment ID | O20181226000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568950566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dana L Nofziger Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Fair St, Buhl, ID 83316 Phone: 208-543-8237 Fax: 208-543-8238 |