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SAINT ALPHONSUS NEPHROLOGY
NPI 1720079387
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Burley, ID

Active since November 02, 2005
2303 PARK AVE, BURLEY, ID 83318(208) 677-5490(208) 677-5498 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Saint Alphonsus Nephrology NPPES

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

SAINT ALPHONSUS NEPHROLOGY (NPI 1720079387) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Burley, 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

NPI1720079387
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSAINT ALPHONSUS NEPHROLOGY
Location Address2303 PARK AVEBurley, ID 83318-2106
Mailing Address5610 Gage St, Suite BBoise, ID 83706-1349 · (208) 367-3076 · Fax (208) 367-6909
Phone(208) 677-5490
Fax(208) 677-5498
Organization SubpartNo
Authorized OfficialJan M JacobsAccounts Receivable Manager · (208) 367-3076
Enumeration DateNovember 2, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720079387 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 · BM5584708
2303 PARK AVE, Burley, ID 83318
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Other Providers at the Same Location NPPES 6

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

SHAYLYNN SHERRICK SMITH FNP-C
Nurse Practitioner (Family)
2303 PARK AVE
BURLEY, ID 83318
Cassia County (208) 677-3073
TYLER EARL COTA/L
Occupational Therapy Assistant
2303 PARK AVE
BURLEY, ID 83318
Cassia County (208) 677-3073
MISS BETHANY WALTON OTR/L
Occupational Therapist
2303 PARK AVE
BURLEY, ID 83318
Cassia County (208) 677-3073
CASSIA LONG TERM CARE, INC.
Skilled Nursing Facility
2303 PARK AVE
BURLEY, ID 83318
Cassia County (208) 677-3073
JRT HEALTHCARE, INC.
Skilled Nursing Facility
2303 PARK AVE
BURLEY, ID 83318
Cassia County (208) 677-3073
JRT HEALTHCARE, INC.
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
2303 PARK AVE
BURLEY, ID 83318
Cassia County (208) 677-3073

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 Saint Alphonsus Nephrology's NPI number?

The NPI number for Saint Alphonsus Nephrology is 1720079387. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is Saint Alphonsus Nephrology located?

Saint Alphonsus Nephrology is located at 2303 Park Ave, Burley, ID 83318. The listed phone number is (208) 677-5490.

What is Saint Alphonsus Nephrology'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 Saint Alphonsus Nephrology was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.