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Yellowstone Dialysis Center
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rexburg, Idaho
NPI 1316046444

Yellowstone Dialysis Center is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Salt Lake City, ID and is specialized in End-Stage Renal Disease (ESRD) Treatment. Yellowstone Dialysis Center practices in Rexburg, ID. The NPI Number for Yellowstone Dialysis Center is 1316046444 and holds a License No. IDAHO DOESNT ISSUE (Idaho).

The current practice location address for Yellowstone Dialysis Center is 1165 Summers Dr, Rexburg, ID and can be reached out via phone at 208-656-0378.

Location: 1165 Summers Dr, Rexburg, ID, 84127-0071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316046444
Provider Name
Yellowstone Dialysis Center
Credential
Provider Entity Type
Organization
Address
1165 Summers Dr, Rexburg, ID, 84127-0071
Phone Number
208-656-0378
Fax Number
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1165 Summers Dr
City
Rexburg
State
Idaho
Zip
83440-5224
Phone Number
208-656-0378
Fax Number
person
Provider Business Mailing Address Details
Address
1165 Summers Dr
City
Rexburg
State
Idaho
Zip
83440-5224
Phone Number
208-656-0378
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
IDAHO DOESNT ISSUE (Idaho)
Definition
Definition to come...
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