Idaho Kidney Center-Blackfoot LLC

NPI #1467480582 in Blackfoot, Idaho

Provider Information

NPI Number
1467480582
Entity Type
Organization
Organization Name
Idaho Kidney Center-Blackfoot LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jun 29, 2006
Last Updated
Oct 24, 2023

Practice Location

Address
245 POPLAR ST
State
Idaho
ZIP Code
83221-4907
Phone
(208) 643-0876

Authorized Official

Name
BARRY L. BLANTON
Title
VICE PRESIDENT
Phone
(781) 699-9000

Specialties & Taxonomy Codes

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

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