| Gem State Family Health Care Pllc | |
|
496 Shoup Ave W Ste E Twin Falls ID 83301-5043 | |
| (208) 733-2885 | |
| (208) 734-3352 |
| Full Name | Gem State Family Health Care Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 496 Shoup Ave W Ste E, Twin Falls, Idaho |
| Authorized Official Name and Position | Launa J Zodrow (OFFICE MGR) |
| Authorized Official Contact | 2087332885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gem State Family Health Care Pllc 496 Shoup Ave W Ste E Twin Falls ID 83301-5043 Ph: (208) 733-2885 | Gem State Family Health Care Pllc 496 Shoup Ave W Ste E Twin Falls ID 83301-5043 Ph: (208) 733-2885 |
| NPI Number | 1427537927 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 08/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427537927 | NPI | - | NPPES |
| NP767A | Other | ID | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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