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

North Canyon Mountain Home Clinic

Organization Clinic/Center · NPI 1649759374

North Canyon Mountain Home Clinic is a Clinic/Center in Mountain Home, Idaho. Licensed in Idaho. Registered with an NPI since 2018.

Licensed in
ID
In the registry since
2018
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Practice location Address checks out

840 N 4th E
Mountain Home, ID 83647-2166
Phone: (208) 934-8829
Fax: (208) 934-4874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X (ID)

Record details

NPI number1649759374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Powers — Ceo · (208) 934-8765
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 13, 2018
Mailing address267 N Canyon Dr, Gooding, ID 83330-5500

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