NPIMap

Organization Active NPI

Saint Alphonsus Nephrology Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Nampa, ID
National Provider Identifier
1992796171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
BM5222409 Issued in ID
Legal business name
SAINT ALPHONSUS NEPHROLOGY CENTER
Practice address
846 Parkcenter Way
Nampa, ID 83651-1790
Phone
(208) 467-5180
Fax
(208) 467-4475
NPI assigned
Nov 4, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jan M Jacobs
Title
Accounts Receivable Manager
Phone
(208) 367-3076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X BM5222409 ID Primary

Addresses

Primary practice location

846 Parkcenter Way
Nampa, ID 83651-1790

Mailing address

5610 Gage St
Suite B
Boise, ID 83706-1349
Phone (208) 367-3076

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Nampa Dialysis CenterCCN 132501
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Oct 13, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Chain
DaVita
Dialysis stations
15

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

National Provider Directory

National Provider Directory
Tax ID family
Saint Alphonsus Nephrology Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

846 Parkcentre Way
Nampa, ID 83651
Phone (208) 467-5180

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992796171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 GAGE ST",
            "address_2": "SUITE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061349",
            "telephone_number": "208-367-3076",
            "fax_number": "208-367-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 PARKCENTER WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511790",
            "telephone_number": "208-467-5180",
            "fax_number": "208-467-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS NEPHROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "208-367-3076"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "ID",
            "license": "BM5222409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.