Saint Alphonsus Nephrology

NPI #1720079387 in Burley, Idaho

Provider Information

NPI Number: 1720079387
Entity Type: Organization
Organization Name: Saint Alphonsus Nephrology
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Nov 2, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 2303 PARK AVE
City: Burley
State: Idaho
ZIP Code: 83318-2106
Phone: (208) 677-5490

Authorized Official

Name: JAN M JACOBS
Title: ACCOUNTS RECEIVABLE MANAGER
Phone: (208) 367-3076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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Saint Alphonsus Nephrology Center	Clinic/Center - End-Stage Renal Disease (ESRD) Treatment	Boise	AI Deep Dive
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