NORTH CANYON JEROME CLINIC
NPI 1376160457
Clinic/Center - Rural Health in Jerome, ID
About North Canyon Jerome Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH CANYON JEROME CLINIC (NPI 1376160457) is a healthcare organization registered as a rural health in Jerome, Idaho and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Sara Demoe, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Waiver 13D2192417
North Canyon Jerome Clinic · Jerome, IDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is North Canyon Medical Center, Inc's NPI number?
The NPI number for North Canyon Medical Center, Inc is 1376160457. It was assigned to this organization in the NPPES registry on July 6, 2020. The provider is doing business as North Canyon Jerome Clinic.
Where is North Canyon Medical Center, Inc located?
North Canyon Medical Center, Inc is located at 491 Heritage Dr, Jerome, ID 83338. The listed phone number is (208) 644-7500.
What is North Canyon Medical Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does North Canyon Medical Center, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2192417) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for North Canyon Medical Center, Inc was last updated on January 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.
