NORTH IDAHO DIALYSIS FACILITY
NPI 1912019720
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Coeur D Alene, ID

Active since August 31, 2006CLIA 13D0723819 · Waiver
2100 IRONWOOD CT STE A, COEUR D ALENE, ID 83814(208) 664-3064(208) 664-1353 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2023, Dec 24, 2020, Oct 20, 2020 (3 updates tracked since 2020).

About North Idaho Dialysis Facility NPPES

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

NORTH IDAHO DIALYSIS FACILITY (NPI 1912019720) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Coeur D Alene, Idaho and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1912019720
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameINLAND NORTHWEST RENAL CARE GROUP, LLC
Location Address2100 IRONWOOD CT STE ACoeur D Alene, ID 83814-2698
Mailing Address2100 Ironwood Ct Ste ACoeur D Alene, ID 83814-2698 · (208) 664-3064 · Fax (208) 664-1353
Fax(208) 664-1353
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 16, 20233 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1912019720 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
2100 IRONWOOD CT STE A, Coeur D Alene, ID 83814

Other Names 1

Doing Business AsNorth Idaho Dialysis Facility

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 13D0723819

North Idaho Dialysis · Coeur D'alene, ID
Active · expires Mar 6, 2027
CLIA Number13D0723819
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorBrendan Mielke
Laboratory Phone(208) 664-3064
Laboratory LocationNorth Idaho Dialysis2100 Ironwood Ct #a, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Inland Northwest Renal Care Group, LLC's NPI number?

The NPI number for Inland Northwest Renal Care Group, LLC is 1912019720. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as North Idaho Dialysis Facility.

Where is Inland Northwest Renal Care Group, LLC located?

Inland Northwest Renal Care Group, LLC is located at 2100 Ironwood Ct Ste A, Coeur D Alene, ID 83814. The listed phone number is (208) 664-3064.

What is Inland Northwest Renal Care Group, 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 Inland Northwest Renal Care Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0723819) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Inland Northwest Renal Care Group, LLC accept?

Health plans from PacificSource Health Plans and UnitedHealthcare list Inland Northwest Renal Care Group, 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 Inland Northwest Renal Care Group, LLC was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.