Idaho Kidney Center-Blackfoot Llc in Blackfoot - End-stage Renal Disease (esrd) Treatment

Idaho Kidney Center-Blackfoot Llc - NPI 1467480582

Idaho Kidney Center-Blackfoot Llc is a End-stage Renal Disease (esrd) Treatment in Blackfoot, Idaho. Idaho Kidney Center-Blackfoot Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Idaho Kidney Center-Blackfoot Llc is 1467480582. The last update date is 2023-10-24.

Idaho Kidney Center-Blackfoot Llc's current location address is 245 Poplar St, Blackfoot, Idaho. You can contact this provider via phone number 2086430876 and fax number 2086430859. The mailing address for Idaho Kidney Center-Blackfoot Llc is 245 Poplar St, Blackfoot, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Idaho Kidney Center-Blackfoot Llc
Address 245 Poplar St, Blackfoot, Idaho
Phone Number 2086430876
Fax Number 2086430859
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1467480582
Provider Enumeration Date 2006-06-29
Last Updated Date 2023-10-24

Provider Mailing Address Detail

Address 245 Poplar St
City Blackfoot
State Idaho (ID)
Post Code 832214907
Phone Number 2086430876
Fax Number 2086430859

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.

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FAQs about Idaho Kidney Center-Blackfoot Llc

What is the unique provider identifier assigned to Idaho Kidney Center-Blackfoot Llc?

The Idaho Kidney Center-Blackfoot Llc has been issued the NPI (National Provider Identifier) 1467480582 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Idaho Kidney Center-Blackfoot Llc?

The Idaho Kidney Center-Blackfoot Llc is physically situated at 245 Poplar St, in the city of Blackfoot, state of ID, with the postal code 832214907.

What is the area of specialization for Idaho Kidney Center-Blackfoot Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Idaho Kidney Center-Blackfoot Llc is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of expertise is 261Qe0700X.

When was the Idaho Kidney Center-Blackfoot Llc's 1467480582 issued?

The Idaho Kidney Center-Blackfoot Llc's 1467480582 was issued on 2006-06-29.

When was the information related to Idaho Kidney Center-Blackfoot Llc most recently updated or refreshed?

The details pertaining to the Idaho Kidney Center-Blackfoot Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-10-24.

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