Organization · Type 2 NPI
Saint Alphonsus Nephrology
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Burley, ID
NPI number
1720079387
Active
Practice location
2303 Park Ave
Burley, ID 83318-2106
Fax (208) 677-5498
Mailing address
5610 Gage St, Suite B
Boise, ID 83706-1349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | BM5584708 (ID) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
6 other providers at this address
- Cassia Long Term Care, Inc.Skilled Nursing Facility Burley, ID NPI 1669469953
- JRT Healthcare, Inc.Skilled Nursing Facility Burley, ID NPI 1720317761
- JRT Healthcare, Inc.Comprehensive Outpatient Rehabilitation Facility (CORF) Burley, ID NPI 1932607363
- Bethany Walton, OTR/LOccupational Therapist Burley, ID NPI 1538690805
- Shaylynn Sherrick Smith, FNP-CFamily Nurse Practitioner Burley, ID NPI 1013764224
- Tyler Earl, COTA/LOccupational Therapy Assistant Burley, ID NPI 1033654900
Other end-stage renal disease (esrd) treatment clinic/center providers in Burley
About NPI 1720079387
Saint Alphonsus Nephrology's National Provider Identifier is 1720079387, issued on Nov 2, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Burley, ID. The record was last updated on Aug 22, 2020.