NPI age
18 years
Enumerated 2008-03-06
● Active Type 2 · Organization
North Canyon Medical Center Inc.
North Canyon Medical Center Inc. is 1 of 55 general acute care hospital organizations in Idaho.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Demoe
Controller
Last NPPES update
2022-03-02
Source: monthly bulk 2026-05
How this organization compares
Across 55 active general acute care hospital providers in Idaho.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-03Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
267 North Canyon Drive
Gooding, ID 833301858
Mailing address
267 North Canyon Drive
Gooding, ID 83330
Authorized official
Sara Demoe
Controller
📞 2089349695
Specialties
-
General Acute Care Hospital PrimaryDefinition to come.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010166504 | REGENCE BLUE SHIELD EMERENCY ROOM |
| 01 (ID) | 1609046671 | NORTH CANYON MEDICAL CENTER |
| 01 (ID) | 805657700 | MEDICAID LIFELINE |
| 01 (ID) | 000010166495 | REGENCE BLUE SHIELD |
| 05 (ID) | 002856400 | |
| 01 (ID) | 1518377019 | GOODING FAMILY PHYSICIANS |
| 01 | 185627500 | DEPT OF LABOR |
| 01 (ID) | 1952716540 | JENNIFER PARSONS |
| 01 (ID) | 614134000 | DEPARTMENT OF LABOR |
| 01 (ID) | 805694900 | MEDICAID EMERGENCY ROOM |
| 01 (ID) | 131302 | MEDICARE |
| 05 (ID) | 808314000 | |
| 01 (TN) | 1252103 | CIGNA GOVERNMENT |
| 01 (ID) | 1285925602 | JENNIFER OLSEN |
| 01 (ID) | 131302 | MEDICARE BILLING NUMBER |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
North Canyon Medical Center
-
North Canyon Medical Center
Practice context
Single-site organization. Only one practice location on file.
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