OrganizationActive
Saint Alphonsus Nephrology
NPI 1720079387 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Burley, ID
Provider details
- NPI number
- 1720079387
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jan Jacobs, Accounts Receivable Manager(208) 367-3076
- License
- BM5584708 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2303 Park Ave
Burley, ID 83318-2106
Phone: (208) 677-5490
Fax: (208) 677-5498
Approximate (ZIP-level) locationGet directions
Mailing address
5610 Gage St
Boise, ID 83706-1349
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.