OrganizationActive
Saint Alphonsus Nephrology Center
NPI 1073504635 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ontario, OR
Provider details
- NPI number
- 1073504635
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jan Jacobs, Accounts Receivable Manager
- License
- 170009 (OR)
Practice location
515 East Ln
Ontario, OR 97914-3953
Phone: (541) 889-9557
Fax: (541) 881-8721
Mailing address
5610 Gage St
Boise, ID 83706-1349
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.