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BLACK CANYON FAMILY MEDICINE PC
NPI 1649300138
Family Medicine in Emmett, ID

Active since March 06, 2007
119 N WARDWELL AVE, EMMETT, ID 83617(208) 365-6311(208) 365-1003 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Black Canyon Family Medicine Pc NPPES

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

BLACK CANYON FAMILY MEDICINE PC (NPI 1649300138) is a healthcare organization registered as a family medicine in Emmett, Idaho and active in the NPI registry since March 2007. The organization lists Tina A Mcguffey, Owner, as its authorized official.

NPPES Registry Identity

NPI1649300138
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACK CANYON FAMILY MEDICINE PC
Location Address119 N WARDWELL AVEEmmett, ID 83617-3040
Mailing AddressPo Box 16820Boise, ID 83715-6820 · (208) 323-9130 · Fax (208) 323-9070
Phone(208) 365-6311
Fax(208) 365-1003
Organization SubpartNo
Authorized OfficialTina A McguffeyOwner · (208) 365-6311
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649300138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family 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 family medicine is not limited by age, sex, organ system, or disease entity.
119 N WARDWELL AVE, Emmett, ID 83617
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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 6

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

DR. BARRIE VON SMITH M.D.
Specialist
119 N WARDWELL AVE
EMMETT, ID 83617
Gem County (208) 365-6311
WALTER KNOX MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
119 N WARDWELL AVE
EMMETT, ID 83617
Gem County (208) 365-6311
THE SMITH CLINIC
Family Medicine
119 N WARDWELL AVE
EMMETT, ID 83617
Gem County (208) 365-6311
WARREN WILLIS DMD P.C.
Dentist (General Practice)
119 N WARDWELL AVE
EMMETT, ID 83617
Gem County (208) 365-6313
WALTER KNOX MEMORIAL HOSPITAL
Clinic/Center (Primary Care)
119 N WARDWELL AVE
EMMETT, ID 83617
Gem County (208) 365-6311
DR. WARREN RICHARD WILLIS D.M.D
Dentist (General Practice)
119 N WARDWELL AVE
EMMETT, ID 83617
Gem County (208) 365-6313

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 Black Canyon Family Medicine PC's NPI number?

The NPI number for Black Canyon Family Medicine PC is 1649300138. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Black Canyon Family Medicine PC located?

Black Canyon Family Medicine PC is located at 119 N Wardwell Ave, Emmett, ID 83617. The listed phone number is (208) 365-6311.

What is Black Canyon Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Black Canyon Family Medicine PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.