GEM PREP: POCATELLO, INC. (NPI# 1013431816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013431816 |
| Entity Type | Organization |
| Organization Name | GEM PREP: POCATELLO, INC. |
| Practice Address |
1451 Jessie Clark Ln Pocatello ID 83202-2787 |
| Mailing Address |
Po Box 338 Deary ID 83823-0338 |
| Practice Telephone | 2088771513 |
| Practice Fax Number | 2088771713 |
| Mailing Telephone | 2088771513 |
| Mailing Fax Number | 2088771713 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | BARB FEMREITE (CFO) |
| Authorized Official Telephone | 2088771513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GEM PREP: POCATELLO, INC. | 600 South Ave, Deary, ID 83823-9683 |
| Street Address |
1451 JESSIE CLARK LN |
| City | POCATELLO |
| State | ID |
| Zip Code | 83202-2787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033484 | Ala, LLC | Case Management | 818 E Lander St, Pocatello, ID 83201-5763 | 2020-11-04 |
| 1316551187 | Atropos Mental Health | Case Management | 217 S 9th Ave, Pocatello, ID 83201-5351 | 2020-08-31 |
| 1174876205 | Bright Tomorrows Child Advocacy Center | Case Management | 409 Washington Avenue, Pocatello, ID 83201 | 2012-10-26 |
| 1821399056 | Community Mental Health Services | Case Management | 720 E Lander St, Pocatello, ID 83201-6228 | 2010-11-04 |
| 1639499684 | A Compass In Life | Case Management | 2446 Coleman St, Pocatello, ID 83201-2103 | 2010-06-01 |
| 1255656799 | Cutler Casemanagement | Case Management | 1398 Sedero Ln, Pocatello, ID 83204-7417 | 2010-03-27 |
| 1710144209 | Tri Management | Case Management | 357 W Center St Ste 201, Pocatello, ID 83204-3236 | 2008-05-21 |
| 1972771392 | Coordinated Care Services | Case Management | 250 N 5th Ave, Suite E, Pocatello, ID 83201-6278 | 2008-02-19 |
| 1528246055 | Human Dynamics and Diagnostics | Case Management | 2043 E Center St Ste 211, Pocatello, ID 83201-3300 | 2008-02-06 |
| 1871778183 | Life Design LLC | Case Management | 3420 Alturas Ct, Pocatello, ID 83201-8024 | 2008-01-04 |
| Find all providers in POCATELLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.