Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLACK CANYON MEDICAL GROUP PLLC
Active OrganizationBLACK CANYON MEDICAL GROUP PLLC is a Family Medicine organization located in EMMETT, Idaho. NPI 1811419708 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · EMMETT, ID
Registration Details
- NPI Number
- 1811419708
- Provider Type
- Organization
- NPI Issued
- Jul 12, 2017 (9.0956286567783 yrs)
- Last Updated
- Jul 21, 2022
- License
-
M9309 (ID)
Practice Information
- Address
-
426 HIGHWAY 16EMMETT, ID, 836179461Browse ID providers · Browse ZIP 83617
- Phone
- 2083652735
- Fax
- 2083652737
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Organizations in EMMETT, ID
| Name | NPI |
|---|---|
| THE SMITH CLINIC | 1154357614 |
| BLACK CANYON FAMILY MEDICINE PC | 1649300138 |
| GEM FAMILY MEDICINE LLC | 1720362775 |
| IDAHO BEHAVIORAL HEALTH, INC. | 1316284490 |
| PETRIE WHITE FAMILY MEDICINE OF IDAHO | 1447629555 |
| JONATHAN BARRUS DO PC | 1699375659 |
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.