Organization
EAGLE HEALTH SERVICES LLC
Active
Other names
Bridge Dialysis of Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
TANGINA MALOOF (TREASURER)
(469) 636-5055
Entity
Organization
Contact information
Practice address
1351 W PINE AVE STE B, MERIDIAN, ID 83642-2010
(385) 420-7500
Mailing address
1213 FLINT MEADOW DR STE 1C, KAYSVILLE, UT 84037-6833
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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