Search icon

NORTH CANYON MOUNTAIN HOME CLINIC

Company claim

Is this your business?

Get access!

Company Details

Name: NORTH CANYON MOUNTAIN HOME CLINIC
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 23 Aug 2018 (7 years ago)
Entity Number: 617828
Place of Formation: IDAHO
File Number: 0000617828
ZIP code: 83330
County: Gooding County
Mailing Address: 267 NORTH CANYON DRIVE GOODING, ID 83330

National Provider Identifier

NPI Number:
1649759374

Authorized Person:

Name:
TIM POWERS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2089344874

Filing

Filing Name Filing Number Filing date
Initial Filing 0000617828 2018-08-23

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State