SAINT ALPHONSUS NEPHROLOGY CENTER (NPI# 1801887450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801887450 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS NEPHROLOGY CENTER |
| Practice Address |
5610 Gage St Boise ID 83706-1349 |
| Mailing Address |
5610 Gage St Boise ID 83706-1332 |
| Practice Telephone | 2083673076 |
| Practice Fax Number | 2083676909 |
| Mailing Telephone | 2083673076 |
| Mailing Fax Number | 2083676909 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAN M JACOBS (ACCOUNTS RECEIVABLE MANAGER) |
| Authorized Official Telephone | 2083673076 |
| 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 |
BA8043438 | ID | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992796171 | Saint Alphonsus Nephrology Center | Clinic/Center | 846 Parkcenter Way, Nampa, ID 83651-1790 | 2005-11-04 |
| 1073504635 | Saint Alphonsus Nephrology Center | Clinic/Center | 515 East Ln, Ontario, OR 97914-3953 | 2005-11-02 |
| 1295726842 | Saint Alphonsus Nephrology Center | Clinic/Center | 1840 Canyon Crst, Twin Falls, ID 83301-3007 | 2005-11-02 |
| Street Address |
5610 GAGE ST |
| City | BOISE |
| State | ID |
| Zip Code | 83706-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598789950 | Idaho Nephrology Associates, L.l.c | Internal Medicine | 5610 Gage St, Suite A, Boise, ID 83706-1349 | 2006-07-27 |
| 1164459541 | Jon Parker Wagnild | Internal Medicine | 5610 Gage St, Suite A, Boise, ID 83706-1349 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| 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 |
| 1427472141 | Boise Dialysis Partners II, LLC | Clinic/Center | 1109 W Myrtle St Ste 120, Boise, ID 83702-6971 | 2014-02-17 |
| 1871545418 | Total Renal Care Inc | Clinic/Center | 5610 West Gage St, Ste B, Boise, ID 83706 | 2006-05-16 |
| 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 |
| 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 |
| 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.