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PORTNEUF NEPHROLOGY CENTER
NPI 1164413753
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Pocatello, ID

Active since November 02, 2005
2001 BENCH RD, POCATELLO, ID 83201(208) 637-1090(208) 637-1097 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Portneuf Nephrology Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTNEUF NEPHROLOGY CENTER (NPI 1164413753) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Pocatello, Idaho and active in the NPI registry since November 2005. The organization lists Jan M Jacobs, Accounts Receivable Manager, as its authorized official.

NPPES Registry Identity

NPI1164413753
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePORTNEUF NEPHROLOGY CENTER
Location Address2001 BENCH RDPocatello, ID 83201-2033
Mailing Address5610 Gage StBoise, ID 83706-1332 · (208) 367-3076 · Fax (208) 367-6909
Phone(208) 637-1090
Fax(208) 637-1097
Organization SubpartNo
Authorized OfficialJan M JacobsAccounts Receivable Manager · (208) 367-3076
Enumeration DateNovember 2, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164413753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in ID · BM7847203
2001 BENCH RD, Pocatello, ID 83201
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIALYSIS CLINIC INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2001 BENCH RD
POCATELLO, ID 83201
Bannock County (208) 646-3160
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2001 BENCH RD
POCATELLO, ID 83201
Bannock County (208) 637-1090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portneuf Nephrology Center's NPI number?

The NPI number for Portneuf Nephrology Center is 1164413753. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is Portneuf Nephrology Center located?

Portneuf Nephrology Center is located at 2001 Bench Rd, Pocatello, ID 83201. The listed phone number is (208) 637-1090.

What is Portneuf Nephrology Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Portneuf Nephrology Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.