Tri State Dialysis Center
LBN: Tri-State Memorial Hospital
Tri State Dialysis Center is an health care organization with primary practice located at 730 21St St , Lewiston ID 83501-3323. 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.
Tri-State Memorial Hospital can be contacted via phone (208) 746-8280, or through Town, Alex C. via phone (509) 758-4667.
Contact Information
Primary practice address
730 21St St
Lewiston ID 83501-3323
Phone: (208) 746-8280
Fax: (208) 746-8285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | ||
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | H-108 | Washington |
Profile Details
| NPI number | 1386690907 |
|---|---|
| LBN Legal business name | Tri-State Memorial Hospital |
| DBA Doing business as | Tri State Dialysis Center |
| Authorized official | Town, Alex C. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Aug 4th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386690907 | NPPES |
| Idaho | MEDICAID | 003110900 | |
| Idaho | MEDICAID | 3308004 |
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