NPI age
19 years
Enumerated 2007-03-06
● Active Type 2 · Organization
Black Canyon Family Medicine Pc
Black Canyon Family Medicine Pc is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McGuffey
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
119 N Wardwell Ave
Emmett, ID 836173040
Mailing address
Po Box 16820
Boise, ID 837156820
Authorized official
Tina A McGuffey, MD
Owner
📞 2083656311
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Barrie Smith, M.D. Specialist NPI 1013949940
- Warren Willis, D.M.D Dentist NPI 1568535011
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 1691 Family Medicine providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.