LEWIS CLARK KIDNEY CENTER LLC NPI 1437573995

NPI Information

NPI: 1437573995
Provider Name: LEWIS CLARK KIDNEY CENTER LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 13D2072959

Address:
222 SOUTHWAY AVE STE A
LEWISTON, ID
ZIP 83501
Phone: (208) 743-9986
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LEWIS CLARK KIDNEY CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Lewiston, ID. LEWIS CLARK KIDNEY CENTER LLC NPI is 1437573995. The provider is registered as an organization entity type.

The provider's business location address is:

222 SOUTHWAY AVE STE A
LEWISTON, ID
ZIP 83501-703
Phone: (208) 743-9986
Fax: (208) 743-1318

The provider's authorized official is Ajith J Kumar .
The authorized official title is Medical Director and has the following contact phone number (208) 743-9986.

The CLIA number assigned to this NPI record is 13D2072959 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/4/2014 and was last updated on 2/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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