Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Canyon Family Medicine PC

Organization Family Medicine Physician · NPI 1649300138

Black Canyon Family Medicine PC is a Family Medicine Physician in Emmett, Idaho. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

119 N Wardwell Ave
Emmett, ID 83617-3040
Phone: (208) 365-6311
Fax: (208) 365-1003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1649300138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina McGuffey — Owner · (208) 365-6311
NPI enumeratedMarch 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 16820, Boise, ID 83715-6820

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