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

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone 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

Other clinic/center providers in Mountain Home

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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.