NORTH CANYON MOUNTAIN HOME CLINIC

MOUNTAIN HOME, ID
NPI1649759374
Entity TypeOrganization
Authorized ContactTIM POWERS
CEO
208-934-8765
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2018-08-13
Last Update Date2018-08-13
Business Address
NORTH CANYON MOUNTAIN HOME CLINIC
840 N 4TH E
MOUNTAIN HOME, ID 83647-2166
Phone number: 208-934-8829
Mailing Address
NORTH CANYON MOUNTAIN HOME CLINIC
267 N CANYON DR
GOODING, ID 83330-5500
Phone number: 208-934-4433