Saint Alphonsus Nephrology Center

NPI #1801887450 in Boise, Idaho

Provider Information

NPI Number: 1801887450
Entity Type: Organization
Organization Name: Saint Alphonsus Nephrology Center
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Nov 2, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 5610 GAGE ST
City: Boise
State: Idaho
ZIP Code: 83706-1349
Phone: (208) 367-3076

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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