RENAL TREATMENT CENTERS WEST INC (NPI# 1083809289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083809289 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS WEST INC |
| Other Organization Name | SNAKE RIVER DIALYSIS CENTER |
| Practice Address |
1491 Parkway Drive Blackfoot ID 83221 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 2087851720 |
| Practice Fax Number | 2087851709 |
| Mailing Telephone | 6153416814 |
| Mailing Fax Number | 8002938405 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1083809289 | 05 |
| Other Name | Type Code |
|---|---|
| Snake River Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124509245 | Renal Treatment Centers West Inc | Clinic/Center | 6917 N May Ave, Oklahoma City, OK 73116-3238 | 2018-08-27 |
| 1609035997 | Renal Treatment Centers West Inc | Clinic/Center | 413 South 7th St, Oakes, ND 58474-1920 | 2008-06-03 |
| 1033383278 | Renal Treatment Centers West Inc | Clinic/Center | 1661 Hwy North 99, Ashland, OR 97520 | 2008-04-18 |
| 1669569232 | Renal Treatment Centers West Inc | Clinic/Center | 501 Oak St, Leavenworth, KS 66048-2646 | 2006-10-06 |
| 1083639975 | Renal Treatment Centers West Inc | Clinic/Center | 228 S 29th St, Chickasha, OK 73018-2502 | 2006-07-13 |
| 1013932839 | Renal Treatment Centers West Inc | Clinic/Center | 334 South 13th Street, Burlington, CO 80807-2414 | 2006-07-13 |
| 1831153980 | Renal Treatment Centers West Inc | Clinic/Center | 1221 N 16th Ave, Yakima, WA 98902-1347 | 2006-04-14 |
| 1134183288 | Renal Treatment Centers West Inc | Clinic/Center | 2615 Sw Trenton St, Seattle, WA 98126-3745 | 2006-04-14 |
| 1447214598 | Renal Treatment Centers West Inc | Clinic/Center | 1236 Ahtanum Ridge Dr, Ahtanum Ridge Business Park, Union Gap, WA 98903-1813 | 2006-04-14 |
| 1164486288 | Renal Treatment Centers West Inc | Clinic/Center | 3535 Factoria Blvd Se, Ste 150, Bellevue, WA 98006-1293 | 2006-04-14 |
| Street Address |
1491 PARKWAY DRIVE |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467480582 | Idaho Kidney Center-blackfoot LLC | Clinic/Center | 245 Poplar St, Blackfoot, ID 83221-4907 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1083146559 | Total Renal Care, Inc. | Clinic/Center | 815 Nw 13th St, Fruitland, ID 83619 | 2017-04-03 |
| 1457749475 | Lewis-clark Kidney Center LLC | Clinic/Center | 2116 12th Ave, Lewiston, ID 83501-3502 | 2014-12-29 |
| 1144621665 | Dsi Post Falls, LLC | Clinic/Center | 920 N Highway 41, Suite 3-6, Post Falls, ID 83854-8806 | 2014-09-16 |
| 1427472141 | Boise Dialysis Partners II, LLC | Clinic/Center | 1109 W Myrtle St Ste 120, Boise, ID 83702-6971 | 2014-02-17 |
| 1467883967 | Dsi Kellogg, LLC | Clinic/Center | 858 Commerce Dr., Smelterville, ID 83868 | 2013-12-09 |
| 1154669695 | Tfld Partners, LLC | Clinic/Center | 350 North Haven Drive, Twin Falls, ID 83301 | 2013-01-17 |
| 1255643243 | Ldcd LLC | Clinic/Center | 4620 Enterprise Way, Suite 101, Caldwell, ID 83605-6764 | 2010-07-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.