Organization · Type 2 NPI

Idaho Kidney Center-Blackfoot LLC

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

NPI number 1467480582 Active

Practice location

245 Poplar St
Blackfoot, ID 83221-4907

Call (208) 643-0876 Map

Fax (208) 643-0859

Other practice locations

98 Poplar St, Blackfoot, ID 83221-1758 · (206) 236-5001

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...

Another provider at this address

Liliana Garcia, BSN, RNStudent in an Organized Health Care Education/Training Program Blackfoot, ID NPI 1720908569

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

Renal Treatment Centers West IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Blackfoot, ID NPI 1083809289

See all in Blackfoot →

NPI record

NPI: 1467480582
Entity type: Organization (Type 2)
Issued: Jun 29, 2006
Last updated: Sep 1, 2026
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

<unavail>
Idaho Kidney Center-Blackfoot · doing business as

Authorized official

Denise Wright
Vice President
(781) 676-5200

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467480582

Idaho Kidney Center-Blackfoot LLC's National Provider Identifier is 1467480582, issued on Jun 29, 2006. 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 Sep 1, 2026.