| North Canyon Family Medicine | |
|
267 N. Canyon Drive Gooding ID 83330 | |
| (208) 934-4446 | |
| (208) 934-4442 |
| Full Name | North Canyon Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 267 N. Canyon Drive, Gooding, Idaho |
| Authorized Official Name and Position | Timothy Powers (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2089348765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Canyon Family Medicine 267 N Canyon Drive Medical Plaza Gooding ID 83330 Ph: (208) 934-4446 | North Canyon Family Medicine 267 N. Canyon Drive Gooding ID 83330 Ph: (208) 934-4446 |
| NPI Number | 1518377019 |
|---|---|
| Provider Enumeration Date | 05/06/2014 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 0941371439 |
|---|---|
| Medicare Enrollment ID | O20140619001188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518377019 | NPI | - | NPPES |
| 1609046671 | Other | ID | NORTH CANYON MEDICAL CENTER |
| 1518377019 | Other | ID | RHC |
| 138520 | Other | ID | UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Associates In Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Idaho St, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 | |
Associates In Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Idaho St, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 | |
Gooding Family Physicians Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 4th Ave W, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 | |
Associates In Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Idaho St, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 |