NPI age
11 years
Enumerated 2014-12-29
● Active Type 2 · Organization
Lewis-Clark Kidney Center Llc
Lewis-Clark Kidney Center Llc is 1 of 46 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brady
Chief Nursing Officer
Last NPPES update
2023-01-10
Source: monthly bulk 2026-05
How this organization compares
Across 46 active clinic/center providers in Idaho.
NPI age
11 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-12Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
2116 12th Ave
Lewiston, ID 835013502
Mailing address
2116 12th Ave
Lewiston, ID 835013502
Authorized official
Sara Anne Brady
Chief Nursing Officer
📞 2083717878
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1457749475 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.