Gem Family Practice, Inc | |
1108 S Washington Ave Emmett ID 83617-3535 | |
(208) 365-3455 | |
(208) 365-3422 |
Full Name | Gem Family Practice, Inc |
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Speciality | Clinic/center - Rural Health |
Location | 1108 S Washington Ave, Emmett, Idaho |
Authorized Official Name and Position | Jennice M Cordova (PRESIDENT) |
Authorized Official Contact | 2083653455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gem Family Practice, Inc 1108 S Washington Ave Emmett ID 83617-3535 Ph: (208) 365-3455 | Gem Family Practice, Inc 1108 S Washington Ave Emmett ID 83617-3535 Ph: (208) 365-3455 |
NPI Number | 1205052198 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1205052198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | PA 281 (Idaho) | Primary |
The Smith Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 | |