NPI age
5 years
Enumerated 2020-07-06
● Active Type 2 · Organization
Subpart
North Canyon Medical Center, Inc
North Canyon Medical Center, Inc is 1 of 61 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Demoe
Cfo
Last NPPES update
2021-01-29
Source: monthly bulk 2026-05
How this organization compares
Across 61 active clinic/center providers in Idaho.
NPI age
5 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
491 Heritage Dr
Jerome, ID 833386701
Mailing address
267 N Canyon Dr
Gooding, ID 833305500
Authorized official
Sara Demoe
Cfo
📞 2089349695
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Logan Jones, DO Family Medicine NPI 1710540885
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
North Canyon Jerome Clinic
-
North Canyon Jerome Clinic
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of North Canyon Medical Center, Inc..
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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