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GEM FAMILY MEDICINE LLC NPI 1720362775


NPI Information

NPI: 1720362775
Provider Name: GEM FAMILY MEDICINE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1108 SOUTH WASHINGTON AVE
EMMETT, ID
ZIP 83617
Phone: (208) 365-3455
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GEM FAMILY MEDICINE LLC is a family medicine in Emmett, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GEM FAMILY MEDICINE LLC NPI is 1720362775. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1108 SOUTH WASHINGTON AVE
EMMETT, ID
ZIP 83617-535
Phone: (208) 365-3455
Fax: (208) 365-3422

The provider's authorized official is Tracey Vernalee Marson .
The authorized official title is Office Manager and has the following contact phone number (208) 365-3455.

The enumeration date for this NPI number is 10/7/2011 and was last updated on 10/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineN-33941IDAHONo
2207Q00000XFamily MedicineNP-701AIDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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