NPIMap

Organization Active NPI

North Canyon Medical Center Inc.

Doing business as North Canyon Surgery Center

  • Surgery Physician
  • Twin Falls, ID
National Provider Identifier
1649962671
Registry record updated Jun 24, 2026
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
426 Parkview Loop E
Twin Falls, ID 83301
Phone
(208) 934-4433
NPI assigned
May 26, 2023
Last updated
Jun 24, 2026By 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 Jun 24, 2026

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

Authorized official

Name
Mr. J'Dee M Adams, CEO
Title
Ceo
Phone
(208) 934-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

426 Parkview Loop E
Twin Falls, ID 83301

Mailing address

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

Other practice location 1

115 Falls Ave W
Twin Falls, ID 83301-3115
Phone (208) 934-4433

Other names 1

  • North Canyon Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260513000122 ID Part B Supplier - Ambulatory Surgical Center 0941371439 Practice locations: Twin Falls, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649962671. Details of each certification follow.

Ambulatory surgical center certification: CCN 13C0001113

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
North Canyon Ambulatory Surgery Center
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Apr 14, 2026
Last certification
Mar 26, 2026
Facility address
426 Parkview Loop E
Twin Falls, ID 83301

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Canyon Medical Center IncJerome, ID, CCN 138533 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1649962671",
    "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": "426 PARKVIEW LOOP E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-934-4433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Falls Ave W",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833013115",
            "country_code": "US",
            "telephone_number": "208-934-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH CANYON MEDICAL CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH CANYON MEDICAL CENTER, INC",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "J'DEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-934-4433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "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

Verify at the official NPI Registry.