DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLACK CANYON FAMILY MEDICINE PC

Active Organization

BLACK CANYON FAMILY MEDICINE PC is a Family Medicine organization located in EMMETT, Idaho. NPI 1649300138 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · EMMETT, ID

Registration Details

NPI Number
1649300138
Provider Type
Organization
NPI Issued
Mar 6, 2007 (19.252604858395 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
119 N WARDWELL AVE
EMMETT, ID, 836173040
Browse ID providers · Browse ZIP 83617
Phone
2083656311
Fax
2083651003
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in EMMETT, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.