Saint Alphonsus Nephrology Center in Boise - End-stage Renal Disease (esrd) Treatment
Saint Alphonsus Nephrology Center - NPI 1801887450
Saint Alphonsus Nephrology Center is a End-stage Renal Disease (esrd) Treatment in Boise, Idaho. Saint Alphonsus Nephrology Center practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Saint Alphonsus Nephrology Center is 1801887450. The last update date is 2020-08-22.
Saint Alphonsus Nephrology Center's current location address is 5610 Gage St, Boise, Idaho. You can contact this provider via phone number 2083673076 and fax number 2083676909. The mailing address for Saint Alphonsus Nephrology Center is 5610 Gage St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Saint Alphonsus Nephrology Center |
|---|---|
| Address | 5610 Gage St, Boise, Idaho |
| Phone Number | 2083673076 |
| Fax Number | 2083676909 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACCOUNTS R |
|---|---|
| Authorized Official Name | Jacobs M Jan |
| Telephone Number | 2083673076 |
NPI Number Detail
| NPI Number | 1801887450 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5610 Gage St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837061332 |
| Phone Number | 2083673076 |
| Fax Number | 2083676909 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | BA8043438 |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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What is the unique identifier code issued to Saint Alphonsus Nephrology Center by the Centers for Medicare & Medicaid Services?
The Saint Alphonsus Nephrology Center has been assigned the NPI (National Provider Identifier) 1801887450. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Saint Alphonsus Nephrology Center's physical address?
The Saint Alphonsus Nephrology Center is physically located at 5610 Gage St, in the city of Boise, ID, with the postal code 837061332.
What is the Saint Alphonsus Nephrology Center's specialty and taxonomy code?
The Saint Alphonsus Nephrology Center's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801887450 to Saint Alphonsus Nephrology Center?
The Saint Alphonsus Nephrology Center received its 1801887450 assignment from the Centers for Medicare & Medicaid Services on 2005-11-02.
As of what date were the details related to Saint Alphonsus Nephrology Center most recently updated or revised?
The information pertaining to Saint Alphonsus Nephrology Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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