Liberty Dialysis-Nampa Llc in Nampa - End-stage Renal Disease (esrd) Treatment

Liberty Dialysis-Nampa Llc - NPI 1396802070

Liberty Dialysis-Nampa Llc is a End-stage Renal Disease (esrd) Treatment in Nampa, Idaho. Liberty Dialysis-Nampa Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Liberty Dialysis-Nampa Llc is 1396802070. The last update date is 2023-10-17.

Liberty Dialysis-Nampa Llc's current location address is 280 W Georgia Ave, Nampa, Idaho. You can contact this provider via phone number 2084638558 and fax number 2084638560. The mailing address for Liberty Dialysis-Nampa Llc is 280 W Georgia Ave, Nampa, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Liberty Dialysis-Nampa Llc
Address 280 W Georgia Ave, Nampa, Idaho
Phone Number 2084638558
Fax Number 2084638560
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Blanton L. Barry
Telephone Number 7816999000

NPI Number Detail

NPI Number 1396802070
Provider Enumeration Date 2007-01-02
Last Updated Date 2023-10-17

Provider Mailing Address Detail

Address 280 W Georgia Ave
City Nampa
State Idaho (ID)
Post Code 836862835
Phone Number 2084638558
Fax Number 2084638560

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8078125 ID --

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FAQs about Liberty Dialysis-Nampa Llc

What is the unique 10-digit identification code assigned to Liberty Dialysis-Nampa Llc by the Centers for Medicare & Medicaid Services?

The Liberty Dialysis-Nampa Llc has been issued the NPI (National Provider Identifier) 1396802070, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Liberty Dialysis-Nampa Llc's physical address?

The Liberty Dialysis-Nampa Llc is physically located at 280 W Georgia Ave, in the city of Nampa, ID, with the postal code 836862835.

What is the Liberty Dialysis-Nampa Llc's area of specialization and corresponding taxonomy classification?

The Liberty Dialysis-Nampa Llc's specialty field is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their specialties.

When did the Liberty Dialysis-Nampa Llc receive its 1396802070?

The Liberty Dialysis-Nampa Llc was issued its 1396802070 on 2007-01-02, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Liberty Dialysis-Nampa Llc most recently updated or revised?

The details related to Liberty Dialysis-Nampa Llc, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-17.

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