SAINT ALPHONSUS NEPHROLOGY
Ambulatory Health at Park Ave, Pella, ID

License number
Idaho BM5584708
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: JAN M JACOBS
Title: ACCOUNTS RECEIVABLE MANAGER
Phone: (208) 367-3076
Address
Address 2
2303 Park Ave, Pella, ID 83318
5610 Gage St SUITE B, Boise, ID 83706
National Provider ID: 1720079387
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SAINT ALPHONSUS NEPHROLOGY at bizstanding.com

Saint Alphonsus Nephrology Center, LLC

5610 W Gage St, Boise, ID 83706

Industry:
Medical Doctor's Office
Managers:
Joanna M. Engle (Principal),Jan M. Jacobs (Accounting Manager),Michael Adcox Managing Partner, inactive,...

SAINT ALPHONSUS NEPHROLOGY CENTER, LLC

601 W Bannock, Boise, ID 83702

Status:
Inactive
Registration:
Dec 15, 1995
Inactive since:
Mar 6, 2009
State ID:
W1800
Business type:
LIMITED LIABILITY COMPANY
Agent:
Patrick J Miller, Esq,601 W Bannock, Boise, ID 83701 (Physical)

Ambulatory Health licenses in Idaho




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