Lewis-Clark Kidney Center LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

LEWIS-CLARK KIDNEY CENTER LLC

Practice address

2116 12TH Ave
Lewiston, ID 83501-3502

Phone

(208) 743-0662

Fax

(208) 743-0677

NPI assigned

Dec 29, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sara Anne Brady

Title

Chief Nursing Officer

Phone

(208) 371-7878

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Listed as

Lewis-Clark Kidney CenterCCN 132530

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Sep 17, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

23

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

CLIA laboratory certificates

Member of 1

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

• Kidney & Hypertension Clinic PLLC

  • Nephrology Physician
  • Mount Vernon, WA
  • NPI 1174789325

  Member Of

  NPD member

Locations

Affiliated clinicians 1

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

• Ajith J Kumar, MD

  • Nephrology Physician
  • Lewiston, ID
  • NPI 1609952381

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1457749475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 12TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835013502",
            "telephone_number": "208-743-0662",
            "fax_number": "208-743-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 12TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835013502",
            "telephone_number": "208-743-0662",
            "fax_number": "208-743-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS-CLARK KIDNEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457749475",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lewis Clark Endoscopy, PLLC
• Lewis Clark Gastroenterology PLLC
• Lewis Clark Imaging, LLC
• Lewis Clark Kidney Center LLC
• Lewis Clark State College
• Lewis-Clark State College
• Chad Michael Lewis, N.P.
• Gay Adele Lewis, LPC 6339
• Jessica Anne Lewis, FNP-C
• Lewiston Center of Cascadia, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lewiston, ID
• Providers in Lewiston, ID by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.