Organization · Type 2 NPI
North Canyon Mountain Home Clinic
Clinic/Center · Mountain Home, ID
NPI number
1649759374
Active
Practice location
840 N 4th E
Mountain Home, ID 83647-2166
Fax (208) 934-4874
Mailing address
267 N Canyon Dr
Gooding, ID 83330-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6 other providers at this address
- ST Lukes Clinic-Treasure Valley LLCFamily Medicine Physician Mountain Home, ID NPI 1417297821
- Dirk Kenneth Baskett, PA-CMedical Physician Assistant Mountain Home, ID NPI 1841920220
- Jason Dale Oakes, FNP-CNurse Practitioner Mountain Home, ID NPI 1902751423
- Melissa MacleanFamily Nurse Practitioner Mountain Home, ID NPI 1922707686
- Robin Amber Nettleton, NP-CFamily Nurse Practitioner Mountain Home, ID NPI 1336784081
- Vernon T. Mullins, MSN, APRN, FNP-BCFamily Nurse Practitioner Mountain Home, ID NPI 1255168449
Other clinic/center providers in Mountain Home
About NPI 1649759374
North Canyon Mountain Home Clinic's National Provider Identifier is 1649759374, issued on Aug 13, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Mountain Home, ID. The record was last updated on Aug 13, 2018.