Organization · Type 2 NPI
Tri-State Memorial Hospital
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lewiston, ID
NPI number
1386690907
Active
Practice location
730 21st St
Lewiston, ID 83501-3323
Fax (208) 746-8285
Mailing address
1221 Highland Ave., PO Box 189
Clarkston, WA 98940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | None listed |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | H-108 (WA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Lewiston
About NPI 1386690907
Tri-State Memorial Hospital's National Provider Identifier is 1386690907, issued on May 25, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Lewiston, ID. The record was last updated on Aug 4, 2009.