SAINT ALPHONSUS NEPHROLOGY
NPI 1720079387
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Burley, ID
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
About SAINT ALPHONSUS NEPHROLOGY
This page provides the complete NPI Profile along with additional information for Saint Alphonsus Nephrology, a provider established in Burley, Idaho operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1720079387 assigned on November 2005. The practitioner's primary taxonomy code is 261QE0700X with license number BM5584708 (ID). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jan M Jacobs (Accounts Receivable Manager)
- NPI
- 1720079387 Verify this NPI
- Provider Name
- SAINT ALPHONSUS NEPHROLOGY
- Entity Type
- Organization
- Location Address
- 2303 PARK AVE BURLEY, ID 83318
- Location Phone
- (208) 677-5490
- Location Fax
- (208) 677-5498
- Mailing Address
- 5610 GAGE ST SUITE B BOISE, ID 83706
- Mailing Phone
- (208) 367-3076
- Mailing Fax
- (208) 367-6909
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-02-2005
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
- License No.
- BM5584708
- License State
- ID
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
BURLEY, ID 83318
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720079387, enumerated as an "organization" on November 02, 2005.
The provider is located at 2303 PARK AVE BURLEY, ID 83318 and the phone number is (208) 677-5490.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
