FRESENIUS MEDICAL CARE SNAKE RIVER LLC NPI 1265041479

NPI Information

FRESENIUS MEDICAL CARE SNAKE RIVER, LLC is an end-stage renal disease (esrd) treatment clinic center in Idaho Falls, ID. FRESENIUS MEDICAL CARE SNAKE RIVER, LLC NPI is 1265041479. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Snake River.

The provider's business location address is:

3195 S. FORK BLVD
IDAHO FALLS, ID
ZIP 83402-296
Phone: (208) 357-4870
Fax: (208) 242-4059

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 13D2198360 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2020 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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