OrganizationActive
Lewis-Clark Kidney Center LLC
NPI 1457749475 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lewiston, ID
Provider details
- NPI number
- 1457749475
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Sara Brady, Chief Nursing Officer
Practice location
2116 12th Ave
Lewiston, ID 83501-3502
Phone: (208) 743-0662
Fax: (208) 743-0677
Mailing address
2116 12th Ave
Lewiston, ID 83501-3502
Registry dates
- Enumerated
- 2014-12-29
- Last updated
- 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.