IDAHO KIDNEY CENTER-BLACKFOOT LLC

BLACKFOOT, ID
NPI1467480582
Doing Business AsIDAHO KIDNEY CENTER-BLACKFOOT
Entity TypeOrganization
Authorized ContactBARRY L. BLANTON
Vice President
781-699-9000
Organization Subpart ?Yes
Primary Taxonomy261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2006-06-29
Last Update Date2023-10-24
Business Address
IDAHO KIDNEY CENTER-BLACKFOOT LLC
245 POPLAR ST
BLACKFOOT, ID 83221-4907
Phone number: 208-643-0876
Mailing Address
IDAHO KIDNEY CENTER-BLACKFOOT LLC
245 POPLAR ST
BLACKFOOT, ID 83221-4907
Phone number: 208-643-0876