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institution
North Canyon Mountain Home Clinic
Clinic/Center in Mountain Home, Idaho
NPI 1649759374

North Canyon Mountain Home Clinic is a Clinic/Center based in Gooding, ID. North Canyon Mountain Home Clinic practices in Mountain Home, ID. The NPI Number for North Canyon Mountain Home Clinic is 1649759374 and holds a License No. (Idaho).

The current practice location address for North Canyon Mountain Home Clinic is 840 N 4Th E, Mountain Home, ID and can be reached out via phone at 208-934-8829 and via fax at 208-934-4874.

Location: 840 N 4Th E, Mountain Home, ID, 83330-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649759374
Provider Name
North Canyon Mountain Home Clinic
Credential
Provider Entity Type
Organization
Address
840 N 4Th E, Mountain Home, ID, 83330-5500
Phone Number
208-934-8829
Fax Number
208-934-4874
Provider Enumeration Date
08/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1184932584 05 ID
institution
Provider Business Practice Location Address Details
Address
840 N 4Th E
City
Mountain Home
State
Idaho
Zip
83647-2166
Phone Number
208-934-8829
Fax Number
208-934-4874
person
Provider Business Mailing Address Details
Address
840 N 4Th E
City
Mountain Home
State
Idaho
Zip
83647-2166
Phone Number
208-934-8829
Fax Number
208-934-4874
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Idaho)
Definition
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).
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