North Canyon Medical Center Inc

A Medicare group practice based in Twin Falls, ID: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 0941371439), with 208 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941371439The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf)
Enrolled in
ID
Enrollments
8
Group size
73 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 6 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20210128002378 ID Part A Provider - Rural Health Clinic 1376160457
O20181226000513 ID Part A Provider - Rural Health Clinic 1568950566
O20080610000835 ID Part A Provider - Critical Access Hospital 1609046671
O20081014000345 ID Part A Provider - Critical Access Hospital 1275703241
O20140619001188 ID Part A Provider - Rural Health Clinic 1518377019
O20090409000304 ID Part B Supplier - Clinic/Group Practice 1609046671
O20241016003574 ID Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1700641636
O20260513000122 ID Part B Supplier - Ambulatory Surgical Center 1649962671

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 208

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (206) or whom Care Compare lists as members (73).

Sources for this page