Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri-State Memorial Hospital

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1386690907

Tri-State Memorial Hospital is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lewiston, Idaho. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

730 21st St
Lewiston, ID 83501-3323
Phone: (208) 746-8280
Fax: (208) 746-8285
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X · Licence H-108 (WA)
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Taxonomy 261QE0700X

Record details

NPI number1386690907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alex Town — Cfo · (509) 758-4667
Other names Tri State Dialysis Center
NPI enumeratedMay 25, 2006
Last updated in NPPESAugust 4, 2009
Mailing address1221 Highland Ave., Po Box 189, Clarkston, WA 98940

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