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Organization
NORTH IDAHO NEPHROLOGY ASSOCIATES, INC.
Active
Organization
NORTH IDAHO NEPHROLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN K. JOSHI M.D. (OWNER)
(208) 762-7760
Entity
Organization
Contact information
Practice address
1986 W HAYDEN AVE STE C, HAYDEN, ID 83835-7412
(208) 762-7760
(208) 762-7740
Mailing address
1986 W HAYDEN AVE STE C, HAYDEN, ID 83835-7412
(208) 762-7760
(208) 762-7740
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010166370
REGENCE BLUE SHIELD
ID
05
—
808003600
—
ID
05
—
8239220
—
WA
01
—
8N389
BLUE CROSS OF IDAHO
ID
Enumeration date
12/24/2007
Last updated
07/15/2021
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