OrganizationActive
Saint Alphonsus Nephrology Center
NPI 1801887450 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Boise, ID
Provider details
- NPI number
- 1801887450
- 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
- BA8043438 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5610 Gage St
Boise, ID 83706-1349
Phone: (208) 367-3076
Fax: (208) 367-6909
Approximate (ZIP-level) locationGet directions
Mailing address
5610 Gage St
Boise, ID 83706-1332
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.