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Idaho Kidney Center-Blackfoot LLC — NPI 1467480582, Blackfoot, ID | NPI Central

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NPI 1467480582

OrganizationActive

Idaho Kidney Center-Blackfoot LLC

NPI 1467480582 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Blackfoot, ID

Provider details

NPI number: 1467480582
Entity type: Organization
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Fresenius Medical Care Holdings, Inc.
Organization subpart: Yes
Authorized official: Barry Blanton, Vice President(781) 699-9000

Specialties & taxonomies

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

Practice location

245 Poplar St

Blackfoot, ID 83221-4907

Phone: (208) 643-0876

Fax: (208) 643-0859

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

245 Poplar St

Blackfoot, ID 83221-4907

Other names (DBA / former)

Doing business as: Idaho Kidney Center-Blackfoot

Additional practice locations (1)

98 Poplar St
Blackfoot, ID 83221-1758
Phone: (206) 236-5001
Fax: (206) 236-5002

Registry dates

Enumerated: 2006-06-29
Last updated: 2023-10-24
Certified: 2023-10-24

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