Pocatello Med Partners Llc in Chubbuck - End-stage Renal Disease (esrd) Treatment
Pocatello Med Partners Llc - NPI 1275577025
Pocatello Med Partners Llc is a End-stage Renal Disease (esrd) Treatment in Chubbuck, Idaho. Pocatello Med Partners Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Pocatello Med Partners Llc is 1275577025. The last update date is 2023-10-17.
Pocatello Med Partners Llc's current location address is 333 Knudsen Blvd, Chubbuck, Idaho. You can contact this provider via phone number 2087764732 and fax number 2087764777. The mailing address for Pocatello Med Partners Llc is 333 Knudsen Blvd, Chubbuck, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pocatello Med Partners Llc |
|---|---|
| Address | 333 Knudsen Blvd, Chubbuck, Idaho |
| Phone Number | 2087764732 |
| Fax Number | 2087764777 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Blanton L. Barry |
| Telephone Number | 7816999000 |
NPI Number Detail
| NPI Number | 1275577025 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2023-10-17 |
Provider Mailing Address Detail
| Address | 333 Knudsen Blvd |
|---|---|
| City | Chubbuck |
| State | Idaho (ID) |
| Post Code | 832024718 |
| Phone Number | 2087764732 |
| Fax Number | 2087764777 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10150841 | ID | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique identifier code issued to Pocatello Med Partners Llc by the Centers for Medicare & Medicaid Services?
The Pocatello Med Partners Llc has been assigned the NPI (National Provider Identifier) 1275577025. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Pocatello Med Partners Llc's facilities are situated?
The facilities of Pocatello Med Partners Llc are physically located at the following address: 333 Knudsen Blvd, Chubbuck, ID, 832024718.
What is Pocatello Med Partners Llc's area of expertise and its corresponding taxonomy classification?
The Pocatello Med Partners Llc's field of specialization is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Pocatello Med Partners Llc receive the assignment of its 1275577025 from the Centers for Medicare & Medicaid Services?
The Pocatello Med Partners Llc was issued its 1275577025 by the Centers for Medicare & Medicaid Services on 2006-06-15.
When was the information regarding Pocatello Med Partners Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pocatello Med Partners Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-10-17.