BOISE DIALYSIS, LLC (NPI# 1639115785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639115785 |
| Entity Type | Organization |
| Organization Name | BOISE DIALYSIS, LLC |
| Other Organization Name | FRESENIUS KIDNEY CARE MERIDIAN |
| Practice Address |
3525 E Louise Dr Meridian ID 83642-6303 |
| Practice Telephone | 2088469815 |
| Practice Fax Number | 2088842032 |
| Mailing Telephone | 0884698152 |
| Mailing Fax Number | 2088842032 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-23 |
| Authorized Official Name | JAMES DIVITO (VICE PRESIDENT) |
| 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 Meridian | Doing Business As Name - Organization |
| Liberty Dialysis - Meridian | Doing Business As Name - Organization |
| Street Address |
3525 E LOUISE DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679528368 | Anna M Mccreath | Nurse Practitioner | 3525 E Louise Dr, Suite 400, Meridian, ID 83642 | 2006-05-23 |
| 1467919902 | Erin Gwynn | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2019-02-20 |
| 1386133742 | Sara M Palma | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-05-01 |
| 1427555184 | Lindsay Reade | Clinical Exercise Physiologist | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
| 1831696590 | Natalie Meninga | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
| 1558868174 | Erin Norton | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
| 1982101564 | Rhonda M Frost | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
| 1003312117 | Jeffrey Wagner | Clinical Exercise Physiologist | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-05 |
| 1225530595 | Joselyn N Read | Dietitian, Registered | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-03-02 |
| 1699219576 | Valerie Naegele | Respiratory Therapist, Registered | 3525 E Louise Dr, Suite 500, Meridian, ID 83642-6302 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1013535780 | Fresenius Medical Care Meridian Home, LLC | Clinic/Center | 2400 15th St, Meridian, MS 39301-3951 | 2020-07-09 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1033221882 | Rcg Mississippi, Inc. | Clinic/Center | 2205 Highway 39 N, Meridian, MS 39301-2636 | 2006-08-31 |
| 1720032535 | Total Renal Care Inc | Clinic/Center | 3045 E St Lukes St, Ste 105, Meridian, ID 83642 | 2006-05-19 |
| 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 |
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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.