Organization · Type 2 NPI

Renal Treatment Centers West Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Blackfoot, ID

NPI number 1083809289 Active

Practice location

1491 Parkway Drive
Blackfoot, ID 83221

Call (208) 785-1720 Map

Fax (208) 785-1709

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Other end-stage renal disease (esrd) treatment clinic/center providers in Blackfoot

Idaho Kidney Center-Blackfoot LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Blackfoot, ID NPI 1467480582

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NPI record

NPI: 1083809289
Entity type: Organization (Type 2)
Issued: Sep 11, 2007
Last updated: Aug 8, 2018
Status: Active

Other names

<unavail>
Snake River Dialysis Center · doing business as
Snake River Dialysis Center · doing business as

Authorized official

James K Hilger
Chief Accounting Officer
(253) 733-4500

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About NPI 1083809289

Renal Treatment Centers West Inc's National Provider Identifier is 1083809289, issued on Sep 11, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Blackfoot, ID. The record was last updated on Aug 8, 2018.