OrganizationActive
Liberty Dialysis - Idaho Falls LLC
NPI 1487692950 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1487692950
- 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
Practice location
2381 E Sunnyside Rd
Idaho Falls, ID 83404-7521
Phone: (208) 523-8500
Fax: (208) 523-8502
Approximate (ZIP-level) locationGet directions
Mailing address
2381 E Sunnyside Rd
Idaho Falls, ID 83404-7521
Other names (DBA / former)
- Doing business as
- Liberty Dialysis-Idaho Falls LLC
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.