Yellowstone Dialysis Center

NPI #1316046444 in Rexburg, Idaho

Provider Information

NPI Number
1316046444
Entity Type
Organization
Organization Name
Yellowstone Dialysis Center
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Sep 22, 2006
Last Updated
Sep 11, 2007

Practice Location

Address
1165 SUMMERS DR
State
Idaho
ZIP Code
83440-5224
Phone
(208) 656-0378

Authorized Official

Name
MR. STEVEN L HEMMING
Title
PROGRAM ADMINISTRATOR
Phone
(801) 581-8573

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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