Saint Alphonsus Nephrology in Burley - End-stage Renal Disease (esrd) Treatment
Saint Alphonsus Nephrology - NPI 1720079387
Saint Alphonsus Nephrology is a End-stage Renal Disease (esrd) Treatment in Burley, Idaho. Saint Alphonsus Nephrology practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Saint Alphonsus Nephrology is 1720079387. The last update date is 2020-08-22.
Saint Alphonsus Nephrology's current location address is 2303 Park Ave, Burley, Idaho. You can contact this provider via phone number 2086775490 and fax number 2086775498. The mailing address for Saint Alphonsus Nephrology is 2303 Park Ave, Burley, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Saint Alphonsus Nephrology |
|---|---|
| Address | 2303 Park Ave, Burley, Idaho |
| Phone Number | 2086775490 |
| Fax Number | 2086775498 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACCOUNTS R |
|---|---|
| Authorized Official Name | Jacobs M Jan |
| Telephone Number | 2083673076 |
NPI Number Detail
| NPI Number | 1720079387 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2303 Park Ave |
|---|---|
| City | Burley |
| State | Idaho (ID) |
| Post Code | 833182106 |
| Phone Number | 2086775490 |
| Fax Number | 2086775498 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | BM5584708 |
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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 10-digit identification code assigned to Saint Alphonsus Nephrology by the Centers for Medicare & Medicaid Services?
The Saint Alphonsus Nephrology has been issued the NPI (National Provider Identifier) 1720079387, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Saint Alphonsus Nephrology is geographically located?
The Saint Alphonsus Nephrology is physically situated at the following location: 2303 Park Ave, Burley, ID, 833182106.
What is Saint Alphonsus Nephrology's specialized field of practice, and what is the corresponding taxonomy classification code?
The Saint Alphonsus Nephrology's area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.
On what date did the Saint Alphonsus Nephrology receive its 1720079387 assignment from the Centers for Medicare & Medicaid Services?
The Saint Alphonsus Nephrology was assigned its 1720079387 by the Centers for Medicare & Medicaid Services on 2005-11-02.
When was the information regarding Saint Alphonsus Nephrology most recently updated?
The details pertaining to the Saint Alphonsus Nephrology, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.