Organization · Type 2 NPI

Liberty Dialysis - Idaho Falls LLC

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

NPI number 1487692950 Active

Practice location

2381 E Sunnyside Rd
Idaho Falls, ID 83404-7521

Fax (208) 523-8502

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...

2 other providers at this address

Lindsey A. Zirker, RD, LDRenal Nutrition Registered Dietitian Idaho Falls, ID NPI 1568736056
Marianne Nelson, AG-ACNPNurse Practitioner Idaho Falls, ID NPI 1861120180

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

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NPI record

NPI: 1487692950
Entity type: Organization (Type 2)
Issued: Jun 4, 2006
Last updated: Sep 1, 2026
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

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Liberty Dialysis-Idaho Falls LLC · doing business as

Authorized official

Denise Wright
Vice President
(781) 676-5200

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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 1487692950

Liberty Dialysis - Idaho Falls LLC's National Provider Identifier is 1487692950, issued on Jun 4, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 1, 2026.