Fresenius Medical Care Snake River, LLC

Key facts

NPI: 1265041479
Entity type: Organization (NPI type 2)
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name: FRESENIUS MEDICAL CARE SNAKE RIVER, LLC
Practice address: 3195 S. Fork Blvd
Idaho Falls, ID 83402-1296
Phone: (208) 357-4870
Fax: (208) 242-4059
NPI assigned: Jul 24, 2020
Organization subpart: Yes
Parent organization (as reported): FRESENIUS MEDICAL CARE HOLDINGS, INC.

Authorized official

Name: Denise Wright
Title: Vice President
Phone: (781) 676-5200

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Medical Care, Inc. End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bristol, TN · NPI 1477570117

NPD member Member Of

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Michael John Haderlie, MD Nephrology Physician · Chubbuck, ID · NPI 1700083813

NPD (past)
Fahim Rahim, M.D. Nephrology Physician · Chubbuck, ID · NPI 1164579736

NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Michael John Haderlie, MD Nephrology Physician · Chubbuck, ID · NPI 1700083813

Care Compare affiliation Name & address match Dialysis facility

Medicare Care Compare: Dialysis facility

Listed as: Fresenius Kidney Care Snake River CCN 132536
Overall star rating: ★★★☆☆ 3.0 of 5
Ownership: Profit
Certified: May 25, 2021
Medicare certification status: Active (Provider of Services file)
Chain: Fresenius Medical Care
Dialysis stations: 13

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
13D2198360	Fresenius Kidney Care Snake River 3195 South Fork Blvd, Idaho Falls, ID 83402	Certificate of waiver	Nov 1, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in ID

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20210326000826	ID	Part a Provider - End-Stage Renal Disease Facility (ESRD)	9032526611	Practice locations: Idaho Falls, ID

National Provider Directory

Locations

3195 S Fork Blvd
Idaho Falls, ID 83402
Phone (208) 357-4870

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center	261QE0700X			Yes

Addresses

Primary practice location

3195 S. Fork Blvd
Idaho Falls, ID 83402-1296

Mailing address

3195 S. Fork Blvd
Idaho Falls, ID 83402-1296
Phone (208) 357-4870

Other names

FRESENIUS KIDNEY CARE SNAKE RIVER Doing business as

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service	Other	Bluemark LLC / Office Ally

Other providers in Idaho Falls, ID

All providers in Idaho Falls, ID · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Idaho

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.