OrganizationActive
North Canyon Medical Center, Inc.
NPI 1619469525 · Health Educator · Gooding, ID
Provider details
- NPI number
- 1619469525
- Entity type
- Organization
- Primary specialty
- Health EducatorOther Service Providers
- Parent organization
- North Canyon Medical Center, Inc.
- Organization subpart
- Yes
- Authorized official
- Timothy Powers, Chief Executive Officer(208) 934-8765
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
267 N Canyon Dr
Gooding, ID 83330-5500
Phone: (208) 934-9886
Fax: (208) 735-3718
Approximate (ZIP-level) locationGet directions
Mailing address
267 N Canyon Dr
Gooding, ID 83330-5500
Other names (DBA / former)
- Other name
- Medicare Diabetic Prevention Program
- Other name
- Medicare Diabetic Prevention Program
Registry dates
- Enumerated
- 2018-06-06
- Last updated
- 2018-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.