Saint Alphonsus Nephrology Center
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ontario, OR
NPI 1073504635 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1073504635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- 170009 (OR)
- Legal business name
- SAINT ALPHONSUS NEPHROLOGY CENTER
- Practice address
- 515 East LN
Ontario, OR 97914-3953 - Phone
- (541) 889-9557
- Fax
- (541) 881-8721
- NPI assigned
- Nov 2, 2005
- Organization subpart
- No
Authorized official
- Name
- Jan M Jacobs
- Title
- Accounts Receivable Manager
- Phone
- (208) 367-3076
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Saint Alphonsus Nephrology Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 170009 | OR | Yes |
Addresses
Primary practice location
515 East LN
Ontario, OR 97914-3953
Mailing address
5610 Gage St
Ste B
Boise, ID 83706-1349
Phone (208) 367-3076
Other providers in Ontario, OR
- Saint Alphonsus Medical Center- Ontario Inc
- Saint Alphonsus Medical Center- Ontario Inc
- Saint Alphonsus Medical Center- Ontario Inc
- Saint Alphonsus Medical Center- Ontario Inc
- Saint Alphonsus Medical Center- Ontario Inc
- Adrean Isaias Salinas
- Cathy Sanchez
- Cristobal Sanchez
- Thomas R Sanchez
- Kent Michael Sandquist
All providers in Ontario, OR · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.