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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 Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

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

NPI # 1912181090
LBN Legal business name NORTH IDAHO NEPHROLOGY ASSOCIATES, INC.
Authorized official SHAUN JOSHI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/24/2007
Last updated 07/15/2021 - About 5 years ago
Identifiers
ID Medicaid 808003600
WA Medicaid 8239220
ID Other 8N389 BLUE CROSS OF IDAHO
ID Other 000010166370 REGENCE BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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