Lewis-Clark Kidney Center LLC
NPI 1457749475 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lewiston, ID
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lewis-Clark Kidney Center LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Lewiston, ID (NPI 1457749475).
Provider details
- NPI number
- 1457749475
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sara Brady, Chief Nursing Officer(208) 371-7878
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-12-29
- Last updated
- 2023-01-10
- Certified
- 2023-01-10
Frequently asked questions
- What is Lewis-Clark Kidney Center LLC's NPI number?
- Lewis-Clark Kidney Center LLC's National Provider Identifier (NPI) is 1457749475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lewis-Clark Kidney Center LLC?
- Lewis-Clark Kidney Center LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lewis-Clark Kidney Center LLC located?
- Lewis-Clark Kidney Center LLC's practice location on file with NPPES is 2116 12th Ave, Lewiston, ID 83501-3502.
- What is Lewis-Clark Kidney Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Lewis-Clark Kidney Center LLC is (208) 743-0662.
- Does Lewis-Clark Kidney Center LLC accept Medicare?
- Lewis-Clark Kidney Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lewis-Clark Kidney Center LLC?
- The authorized official listed on Lewis-Clark Kidney Center LLC's NPPES record is Sara Brady, Chief Nursing Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lewis-Clark Kidney Center LLC's NPI active?
- Yes — Lewis-Clark Kidney Center LLC's NPI (1457749475) is active in the NPPES registry as of the last update on 2023-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.