Idaho Kidney Center-Blackfoot LLC
NPI 1467480582 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Blackfoot, ID
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho Kidney Center-Blackfoot LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Blackfoot, ID (NPI 1467480582).
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
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Idaho Kidney Center-Blackfoot
Additional practice locations (1)
- 98 Poplar StBlackfoot, ID 83221-1758Phone: (206) 236-5001Fax: (206) 236-5002
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Frequently asked questions
- What is Idaho Kidney Center-Blackfoot LLC's NPI number?
- Idaho Kidney Center-Blackfoot LLC's National Provider Identifier (NPI) is 1467480582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Kidney Center-Blackfoot LLC?
- Idaho Kidney Center-Blackfoot LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Idaho Kidney Center-Blackfoot LLC located?
- Idaho Kidney Center-Blackfoot LLC's practice location on file with NPPES is 245 Poplar St, Blackfoot, ID 83221-4907.
- What is Idaho Kidney Center-Blackfoot LLC's phone number?
- The practice phone number listed in the NPPES registry for Idaho Kidney Center-Blackfoot LLC is (208) 643-0876.
- Does Idaho Kidney Center-Blackfoot LLC accept Medicare?
- Idaho Kidney Center-Blackfoot 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 Idaho Kidney Center-Blackfoot LLC?
- The authorized official listed on Idaho Kidney Center-Blackfoot LLC's NPPES record is Barry Blanton, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Kidney Center-Blackfoot LLC's NPI active?
- Yes — Idaho Kidney Center-Blackfoot LLC's NPI (1467480582) is active in the NPPES registry as of the last update on 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.