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Black Canyon Medical Group Pllc

Family Medicine Physician in Emmett, ID · enumerated 2017 · authorized official Tina Mcguffey, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811419708

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Registry record

Entity type Organization (Type 2)
Legal business name Black Canyon Medical Group Pllc
Practice address 426 Highway 16, Emmett, ID, 83617
Phone (208) 365-2735
Fax (208) 365-2737
Enumeration date Jul 12, 2017
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License M9309 (ID) Primary

Authorized official

Name Tina Mcguffey
Title Owner
Phone (208) 365-2735

Other identifiers

Identifier Type State Issuer
1346654589 Medicaid ID -
1306873435 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Black Canyon Medical Group Pllc?
The NPI for Black Canyon Medical Group Pllc is 1811419708, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Black Canyon Medical Group Pllc?
NPPES lists Tina Mcguffey (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.