Liberty Dialysis Nampa, Llc

LBN: Liberty Dialysis-Nampa Llc
Liberty Dialysis Nampa, Llc is an health care organization with primary practice located at 280 W Georgia Ave , Nampa ID 83686-2835. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Liberty Dialysis-Nampa Llc can be contacted via phone (208) 463-8558, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
280 W Georgia Ave Nampa ID 83686-2835
Phone: (208) 463-8558
Fax: (208) 463-8560
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Barry L.
Phone: (781) 699-9000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1396802070
LBN Legal business name Liberty Dialysis-Nampa Llc
DBA Doing business as Liberty Dialysis Nampa, Llc
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Oct 17th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396802070 NPPES
Idaho MEDICAID 8078125

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