Saint Alphonsus Nephrology
Saint Alphonsus Nephrology is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Burley, ID, holding Type 2 (organization) NPI 1720079387 since 2005. The authorized official on file is Jan Jacobs, Accounts Receivable Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720079387 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Saint Alphonsus Nephrology |
| Practice address | 2303 PARK AVE, Burley, ID, 83318 |
| Phone | 2086775490 |
| Fax | 2086775498 |
| Enumeration date | 2005-11-02 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Jan Jacobs |
|---|---|
| Title | Accounts Receivable Manager |
| Phone | 2083673076 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | BM5584708 | ID |
Copy-ready billing details
Provider: Saint Alphonsus Nephrology NPI: 1720079387 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 2303 PARK AVE, Burley, ID, 83318
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1669469953 | Cassia Long Term Care, Inc. | Organization | Skilled Nursing Facility | Burley, ID |
| 1720317761 | Jrt Healthcare, Inc. | Organization | Skilled Nursing Facility | Burley, ID |
| 1033654900 | Tyler Earl | Individual | Occupational Therapy Assistant | Burley, ID |
| 1538690805 | Bethany Walton | Individual | Occupational Therapist | Burley, ID |
| 1932607363 | Jrt Healthcare, Inc. | Organization | Comprehensive Outpatient Rehabilitation Facility (CORF) | Burley, ID |
| 1013764224 | Shaylynn Smith | Individual | Family Nurse Practitioner | Burley, ID |
Verify this record
Cross-check NPI 1720079387 against the authoritative CMS record: view Saint Alphonsus Nephrology on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Saint Alphonsus Nephrology?
What is the NPI number for Saint Alphonsus Nephrology?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.