National Provider Identifier Database

NORTH IDAHO NEPHROLOGY ASSOCIATES INC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

NORTH IDAHO NEPHROLOGY ASSOCIATES, INC.
1986 W HAYDEN AVE STE C
HAYDEN, ID83835-7412
Phone: 208-762-7760
Fax: 208-762-7740
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for NORTH IDAHO NEPHROLOGY ASSOCIATES, INC.

NPI Number 1912181090
Legal business name
LBN
NORTH IDAHO NEPHROLOGY ASSOCIATES, INC.
Authorized official SHAUN JOSHI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/24/2007
Last updated 07/15/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 808003600
  • WA Medicaid: 8239220
  • ID Other: 8N389 BLUE CROSS OF IDAHO
  • ID Other: 000010166370 REGENCE BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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