OrganizationActive
North Canyon Mountain Home Clinic
NPI 1649759374 · Clinic/Center · Mountain Home, ID
Provider details
- NPI number
- 1649759374
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tim Powers, Ceo(208) 934-8765
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
840 N 4th E
Mountain Home, ID 83647-2166
Phone: (208) 934-8829
Fax: (208) 934-4874
Approximate (ZIP-level) locationGet directions
Mailing address
267 N Canyon Dr
Gooding, ID 83330-5500
Registry dates
- Enumerated
- 2018-08-13
- Last updated
- 2018-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.