Yellowstone Dialysis Center

NPI 1316046444 - Clinic/Center - 261QE0700X

NPI Details
NPI 1316046444
Enumeration Date 09/22/2006
Last Updated 09/11/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEVEN L STEVEN
Position PROGRAM ADMINISTRATOR
Phone (208) 656-0378
Fax
Practice Location
1165 SUMMERS DR
REXBURG ID, 83440-5224, US
Phone (208) 656-0378
Fax
Business Location
PO BOX 27071
SALT LAKE CITY UT, 84127-0071, US
Phone (801) 581-8578
Fax
Toxanomy
Taxonomy Code 261QE0700X
License State Idaho
License Number IDAHO DOESNT ISSUE
Remove 1316046444 NPI Number
 

According to our database, Yellowstone Dialysis Center NPI is 1316046444, taxonomy code is 261QE0700X and license number is IDAHO DOESNT ISSUE, license state is located at Idaho. Yellowstone Dialysis Center physically located at 1165 Summers Dr, Rexburg ID, 83440-5224. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1316046444 NPI number is provided on an as is basis without warranty of any kind. 1316046444 is maintained by the National Plan & Provider Enumeration System. The contents of Yellowstone Dialysis Center are for informational purposes only.