SPLD LLC NPI 1285890681

NPI Information

NPI: 1285890681
Provider Name: SPLD LLC

Doing Business As: LIBERTY DIALYSIS SANDPOINT

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1210 WASHINGTON AVE
SANDPOINT, ID
ZIP 83864
Phone: (208) 263-4488
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SPLD LLC is an end-stage renal disease (esrd) treatment clinic center in Sandpoint, ID. SPLD LLC NPI is 1285890681. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis Sandpoint.

The provider's business location address is:

1210 WASHINGTON AVE
SANDPOINT, ID
ZIP 83864-052
Phone: (208) 263-4488
Fax: (208) 265-6727

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 13D1095663 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2008 and was last updated on 8/12/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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