Organization · Type 2 NPI
Yellowstone Dialysis Center
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rexburg, ID
NPI number
1316046444
Active
Practice location
1165 Summers Dr
Rexburg, ID 83440-5224
Mailing address
PO Box 27071
Salt Lake City, UT 84127-0071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | IDAHO DOESNT ISSUE (ID) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Rexburg
About NPI 1316046444
Yellowstone Dialysis Center's National Provider Identifier is 1316046444, issued on Sep 22, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Rexburg, ID. The record was last updated on Sep 11, 2007.