MEDICARE DIABETIC PREVENTION PROGRAM
NPI 1619469525
Health Educator in Gooding, ID

Active since June 06, 2018
267 N CANYON DR, GOODING, ID 83330(208) 934-9886(208) 735-3718 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Medicare Diabetic Prevention Program NPPES

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

MEDICARE DIABETIC PREVENTION PROGRAM (NPI 1619469525) is a healthcare organization registered as a health educator in Gooding, Idaho and active in the NPI registry since June 2018. The organization lists Timothy L Powers, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1619469525
Entity TypeOrganization
Primary Taxonomy174H00000X
Legal Business NameNORTH CANYON MEDICAL CENTER, INC.
Location Address267 N CANYON DRGooding, ID 83330-5500
Mailing Address267 N Canyon DrGooding, ID 83330-5500 · (208) 934-9886 · Fax (208) 735-3718
Fax(208) 735-3718
Organization SubpartYes
Authorized OfficialTimothy L PowersChief Executive Officer · (208) 934-8765
Enumeration DateJune 6, 2018
NPI 1619469525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth EducatorOther Service Providers
Taxonomy Code174H00000X
Definition
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
267 N CANYON DR, Gooding, ID 83330

Other Names 1

Other NameMedicare Diabetic Prevention Program

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

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.

Physician Assistant
267 N CANYON DR
GOODING, ID 83330
Physician Assistant (Medical)
267 N CANYON DR
GOODING, ID 83330
Nurse Practitioner (Family)
267 N CANYON DR
GOODING, ID 83330
Nurse Practitioner (Family)
267 N CANYON DR
GOODING, ID 83330
Technician/Technologist
267 N CANYON DR
GOODING, ID 83330
Health Educator
267 N CANYON DR
GOODING, ID 83330
Family Medicine
267 N CANYON DR
GOODING, ID 83330
Physician Assistant (Medical)
267 N CANYON DR
GOODING, ID 83330

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 1619469525. It was assigned to this organization in the NPPES registry on June 6, 2018. The provider is also known as Medicare Diabetic Prevention Program.

Where is North Canyon Medical Center, Inc. located?

North Canyon Medical Center, Inc. is located at 267 N Canyon Dr, Gooding, ID 83330. The listed phone number is (208) 934-9886.

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

The primary specialty registered for this NPI is Health Educator with taxonomy code 174H00000X.

When was this NPI record last updated?

The NPPES record for North Canyon Medical Center, Inc. was last updated on June 6, 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.