IDAHO KIDNEY CENTER-BLACKFOOT
NPI 1467480582
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Blackfoot, ID

Active since June 29, 2006CLIA 13D1059334 · Waiver
3/5
Overall Rating
245 POPLAR ST, BLACKFOOT, ID 83221(208) 643-0876(208) 643-0859 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2023, Aug 18, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Idaho Kidney Center-blackfoot NPPES

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

IDAHO KIDNEY CENTER-BLACKFOOT (NPI 1467480582) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Blackfoot, Idaho and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1467480582
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameIDAHO KIDNEY CENTER-BLACKFOOT LLC
Location Address245 POPLAR STBlackfoot, ID 83221-4907
Mailing Address245 Poplar StBlackfoot, ID 83221-4907 · (208) 643-0876 · Fax (208) 643-0859
Fax(208) 643-0859
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateJune 29, 2006
Last NPPES UpdateOctober 24, 20234 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
NPI 1467480582 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
245 POPLAR ST, Blackfoot, ID 83221

Other Names 1

Doing Business AsIdaho Kidney Center-blackfoot

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D1059334

Idaho Kidney Center · Blackfoot, ID
Active · expires Sep 26, 2026
CLIA Number13D1059334
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorHira Siktel
Laboratory Phone(208) 747-0932
Laboratory LocationIdaho Kidney Center245 Poplar St, Blackfoot, ID 83221
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Idaho Kidney Center - Blackfoot (CMS certification number 132515), from CMS Care Compare.

Idaho Kidney Center - Blackfoot

Dialysis facility · Blackfoot, ID
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainFresenius Medical Care
CMS Certification Number132515
ESRD NetworkNetwork 16
Hemodialysis Stations13
Medicare-Certified SinceNovember 20, 2006
Location245 POPLARBlackfoot, ID 83221 · Bingham County
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
245 POPLAR ST
BLACKFOOT, ID 83221

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 Idaho Kidney Center-Blackfoot LLC's NPI number?

The NPI number for Idaho Kidney Center-Blackfoot LLC is 1467480582. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Idaho Kidney Center-Blackfoot.

Where is Idaho Kidney Center-Blackfoot LLC located?

Idaho Kidney Center-Blackfoot LLC is located at 245 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 643-0876.

What is Idaho Kidney Center-Blackfoot LLC's specialty?

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

Does Idaho Kidney Center-Blackfoot LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1059334) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Idaho Kidney Center-Blackfoot LLC a Medicare-certified dialysis facility?

Yes. Idaho Kidney Center - Blackfoot is a Medicare-certified dialysis facility, certified since November 20, 2006.

What quality rating does Idaho Kidney Center-Blackfoot LLC have?

CMS rates Idaho Kidney Center - Blackfoot 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Idaho Kidney Center-Blackfoot LLC accept?

Health plans from PacificSource Health Plans and UnitedHealthcare list Idaho Kidney Center-Blackfoot LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Idaho Kidney Center-Blackfoot LLC was last updated on October 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.