NPIMap

Organization Active NPI

North Canyon Medical Center Inc.

Doing business as North Canyon Surgery Center

  • Surgery Physician
  • Twin Falls, ID
National Provider Identifier
1407733637
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NORTH CANYON MEDICAL CENTER INC.
Doing business as
North Canyon Surgery Center
Practice address
115 Falls Ave W
Twin Falls, ID 83301-3115
Phone
(208) 934-4433
NPI assigned
Aug 19, 2025
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH CANYON MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
J'Dee Adams
Title
Ceo
Phone
(208) 934-8765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

115 Falls Ave W
Twin Falls, ID 83301-3115

Mailing address

267 N Canyon Dr
Gooding, ID 83330-5500
Phone (208) 934-4433

Other names 1

  • North Canyon Surgery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Partners in Healthcare Inc10 organizations share this tax ID, including this one
Part of
Partners in Healthcare Inc

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1407733637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 N CANYON DR",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833305500",
            "telephone_number": "208-934-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FALLS AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013115",
            "telephone_number": "208-934-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CANYON MEDICAL CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH CANYON MEDICAL CENTER, INC",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "J'DEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-934-8765"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Canyon Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.