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North Canyon Mountain Home Clinic

NPI 1649759374ActiveOrganization· Clinic/Center· Mountain Home, ID

Clinic/Center in Mountain Home, Idaho, registered in NPPES in August 2018. The authorized official on file is Tim Powers, Ceo.

Overview

NPI1649759374
StatusActive
Entity typeOrganization
NPI issuedAug 13, 2018
Last updated in NPPESAug 13, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X—ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Mountain Home

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