Gem State Family Health Care Pllc

LBN: Gem State Family Health Care Pllc
Gem State Family Health Care Pllc is an health care organization with primary practice located at 496 Shoup Ave W Ste E , Twin Falls ID 83301-5043. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Gem State Family Health Care Pllc can be contacted via phone (208) 733-2885, or through Zodrow, Launa J via phone (208) 733-2885.

Contact Information

Primary practice address
496 Shoup Ave W Ste E Twin Falls ID 83301-5043
Phone: (208) 733-2885
Fax: (208) 734-3352
Website:
Map and Directions
Authorized official contact:
Name: Zodrow, Launa J
Phone: (208) 733-2885

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1427537927
LBN Legal business name Gem State Family Health Care Pllc
DBA Doing business as
Authorized official Zodrow, Launa J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2018
Last updated Aug 7th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427537927 NPPES
Idaho Other NP767A STATE LICENSE

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