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Yellowstone Dialysis Center — NPI 1316046444, Rexburg, ID | NPI Central

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NPI 1316046444

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Yellowstone Dialysis Center

NPI 1316046444 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rexburg, ID

Provider details

NPI number: 1316046444
Entity type: Organization
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Steven Hemming, Program Administrator(801) 581-8573
License: IDAHO DOESNT ISSUE (ID)

Specialties & taxonomies

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterPrimary261QE0700XLicense IDAHO DOESNT ISSUE (ID)
Ambulatory Health Care Facilities

Practice location

1165 Summers Dr

Rexburg, ID 83440-5224

Phone: (208) 656-0378

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 27071

Salt Lake City, UT 84127-0071

Other names (DBA / former)

Doing business as: University of Utah

Registry dates

Enumerated: 2006-09-22
Last updated: 2007-09-11

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