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Eagle Health Services LLC — NPI 1114731882, Meridian, ID | NPI Central

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NPI 1114731882

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Eagle Health Services LLC

NPI 1114731882 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Meridian, ID

Provider details

NPI number: 1114731882
Entity type: Organization
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Tangina Maloof, Treasurer(469) 636-5055

Specialties & taxonomies

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterPrimary261QE0700X
Ambulatory Health Care Facilities

Practice location

1351 W Pine Ave Ste B

Meridian, ID 83642-2010

Phone: (385) 420-7500

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1213 Flint Meadow Dr Ste 1c

Kaysville, UT 84037-6833

Other names (DBA / former)

Doing business as: Bridge Dialysis of Idaho

Registry dates

Enumerated: 2025-02-04
Last updated: 2025-02-04
Certified: 2025-02-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.