BOISE DIALYSIS PARTNERS II, LLC (NPI# 1427472141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427472141 |
| Entity Type | Organization |
| Organization Name | BOISE DIALYSIS PARTNERS II, LLC |
| Other Organization Name | LIBERTY DIALYSIS - BOISE |
| Practice Address |
1109 W Myrtle St Ste 120 Boise ID 83702-6971 |
| Practice Telephone | 2083338315 |
| Practice Fax Number | 2083338324 |
| Mailing Telephone | 2083338315 |
| Mailing Fax Number | 2083338324 |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | MARK FAWCETT (SVP AND TREASUERE) |
| Authorized Official Telephone | 7816999000 |
| 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 |
| Other Name | Type Code |
|---|---|
| FRESENIUS KIDNEY CARE BOISE | Doing Business As Name - Organization |
| Liberty Dialysis - Boise | Doing Business As Name - Organization |
| Street Address |
1109 W MYRTLE ST STE 120 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| 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 |
|---|---|---|---|---|
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1871545418 | Total Renal Care Inc | Clinic/Center | 5610 West Gage St, Ste B, Boise, ID 83706 | 2006-05-16 |
| 1801887450 | Saint Alphonsus Nephrology Center | Clinic/Center | 5610 Gage St, Boise, ID 83706-1349 | 2005-11-02 |
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|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1225265606 | Total Renal Care Inc | Clinic/Center | 212 Rodeo Dr Ste 110, Moscow, ID 83843-9791 | 2009-06-12 |
| 1538306428 | Inland Nw Renal Care Group - Gritman Medical Center LLC | Clinic/Center | 723 S Main St., Moscow, ID 83843-3041 | 2009-01-14 |
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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.