institution
Renal Treatment Centers West Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Blackfoot, Idaho
NPI 1083809289

Renal Treatment Centers West Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, ID and is specialized in End-Stage Renal Disease (ESRD) Treatment. Renal Treatment Centers West Inc practices in Blackfoot, ID. The NPI Number for Renal Treatment Centers West Inc is 1083809289 and holds a License No. (Idaho).

The current practice location address for Renal Treatment Centers West Inc is 1491 Parkway Drive, Blackfoot, ID and can be reached out via phone at 208-785-1720 and via fax at 208-785-1709.

Location: 1491 Parkway Drive, Blackfoot, ID, 37027-7569
institution
Provider Profile Details
NPI Number
1083809289
Provider Name
Renal Treatment Centers West Inc
Credential
Provider Entity Type
Organization
Address
1491 Parkway Drive, Blackfoot, ID, 37027-7569
Phone Number
208-785-1720
Fax Number
208-785-1709
Provider Enumeration Date
09/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083809289 05 ID
institution
Provider Business Practice Location Address Details
Address
1491 Parkway Drive
City
State
Zip
83221
Phone Number
208-785-1720
Fax Number
208-785-1709
person
Provider Business Mailing Address Details
Address
1491 Parkway Drive
City
State
Zip
83221
Phone Number
208-785-1720
Fax Number
208-785-1709
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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