NORTH CANYON MEDICAL CENTER
NPI 1184932584
Physician Assistant - Medical in Gooding, ID

Q: What is North Canyon Medical Center, Inc's NPI number?

The NPI number for North Canyon Medical Center, Inc is 1184932584. It was assigned to this organization in the NPPES registry on September 20, 2010. The provider is doing business as North Canyon Medical Center.

Q: What is North Canyon Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since September 20, 2010CLIA 13D0520679 · Certificate of Compliance

267 N CANYON DR, GOODING, ID 83330(208) 934-4433 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About North Canyon Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH CANYON MEDICAL CENTER (NPI 1184932584) is a healthcare organization registered as a medical in Gooding, Idaho and active in the NPI registry since September 2010. The organization holds a CLIA Certificate of Compliance certificate valid through January 24, 2027 and lists Joyce Astle, Patient Financial Director, as its authorized official.

NPPES Registry Identity

NPI1184932584

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameNORTH CANYON MEDICAL CENTER, INC

Location Address267 N CANYON DRGooding, ID 83330-5500

Mailing Address267 N Canyon DrGooding, ID 83330-5500 · (208) 934-4433

Phone(208) 934-4433

Organization SubpartYesParent: Emergency Medicine

Authorized OfficialJoyce AstlePatient Financial Director · (208) 934-4433

Enumeration DateSeptember 20, 2010

Last NPPES UpdateApril 24, 2018

✔ NPI 1184932584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · 363AM0700X

267 N CANYON DR, Gooding, ID 83330

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Other Names 1

Doing Business AsNorth Canyon Medical Center

Other Identifiers 1

Medicaid1609046671ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 13D0520679

North Canyon Medical Center · Gooding, ID

Active · expires Jan 24, 2027

CLIA Number13D0520679

Laboratory TypeHospital

Certificate Effective DateJanuary 25, 2025

Certificate Expiration DateJanuary 24, 2027

Laboratory DirectorKirk C. Peterson

Laboratory Phone(208) 934-4463

Laboratory LocationNorth Canyon Medical Center267 North Canyon Dr, Gooding, ID 83330

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON DAVIS PA

Physician Assistant