Gem Family Practice

LBN: Gem Family Practice
Gem Family Practice is an health care organization with primary practice located at 1108 S Washington Ave , Emmett ID 83617-3535. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Gem Family Practice can be contacted via phone (208) 365-3455, or through Casdorph, Deborah A via phone (208) 365-3455.

Contact Information

Primary practice address
1108 S Washington Ave Emmett ID 83617-3535
Phone: (208) 365-3455
Fax: (208) 365-3422
Website:
Map and Directions
Authorized official contact:
Name: Casdorph, Deborah A Family Nurse Practitioner (FNP)
Phone: (208) 365-3455

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP238A Idaho

Profile Details

NPI number 1407919749
LBN Legal business name Gem Family Practice
DBA Doing business as
Authorized official Casdorph, Deborah A Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Aug 22nd, 2020 - 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 1407919749 NPPES
Idaho Other 000010017986 REGENCE BLUE SHIELD
Idaho Other NP190 REGENCE BLUE SHIELD

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