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Inland Northwest Renal Care Group, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ponderay, Idaho
NPI 1720237233

Inland Northwest Renal Care Group, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Ponderay, ID and is specialized in End-Stage Renal Disease (ESRD) Treatment. Inland Northwest Renal Care Group, Llc practices in Ponderay, ID. The NPI Number for Inland Northwest Renal Care Group, Llc is 1720237233 and holds a License No. (Idaho).

The current practice location address for Inland Northwest Renal Care Group, Llc is 204 N Triangle Dr, Ponderay, ID and can be reached out via phone at 208-255-4963. You can also correspond with Inland Northwest Renal Care Group, Llc through the mailing address at 204 N TRIANGLE DR, PONDERAY, ID - 83852-9729 (mailing address contact number: 208-255-4963).

Location: 204 N Triangle Dr, Ponderay, ID, 83852-9729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720237233
Provider Name
Inland Northwest Renal Care Group, Llc
Credential
Provider Entity Type
Organization
Address
204 N Triangle Dr, Ponderay, ID, 83852-9729
Phone Number
208-255-4963
Fax Number
Provider Enumeration Date
09/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
204 N Triangle Dr
City
Ponderay
State
Idaho
Zip
83852-9729
Phone Number
208-255-4963
Fax Number
person
Provider Business Mailing Address Details
Address
204 N Triangle Dr
City
Ponderay
State
Idaho
Zip
83852-9729
Phone Number
208-255-4963
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.
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Definition
Definition to come...
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