NORTH CANYON BUHL CLINIC
NPI 1568950566
Clinic/Center - Rural Health in Buhl, ID

Active since April 25, 2018CLIA 13D2155265 · Waiver
718 HWY 30, BUHL, ID 83316(208) 934-4433(208) 934-4442 Get Directions Write a Review

NPPES record last updated: April 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Canyon Buhl Clinic NPPES

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

NORTH CANYON BUHL CLINIC (NPI 1568950566) is a healthcare organization registered as a rural health in Buhl, Idaho and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Toni Lee, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1568950566
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNORTH CANYON MEDICAL CENTER, INC.
Location Address718 HWY 30Buhl, ID 83316
Mailing Address718 Hwy 30Buhl, ID 83316
Fax(208) 934-4442
Organization SubpartYes
Authorized OfficialToni LeeClinic Manager · (208) 934-4446
Enumeration DateApril 25, 2018
NPI 1568950566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
718 HWY 30, Buhl, ID 83316

Other Names 1

Doing Business AsNorth Canyon Buhl Clinic

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 13D2155265

North Canyon Buhl Clinic · Buhl, ID
Active · expires Sep 25, 2026
CLIA Number13D2155265
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorGreg Boettcher
Laboratory Phone(208) 543-4785
Laboratory LocationNorth Canyon Buhl Clinic718 Hwy 30 E, Buhl, ID 83316
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1568950566. It was assigned to this organization in the NPPES registry on April 25, 2018. The provider is doing business as North Canyon Buhl Clinic.

Where is North Canyon Medical Center, Inc. located?

North Canyon Medical Center, Inc. is located at 718 Hwy 30, Buhl, ID 83316. The listed phone number is (208) 934-4433.

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 13D2155265) is associated with this NPI, valid through September 25, 2026. 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 April 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.