GEM EXPRESS MEDICAL GROUP (NPI# 1396290953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396290953 |
| Entity Type | Organization |
| Organization Name | GEM EXPRESS MEDICAL GROUP |
| Other Organization Name | GEM EXPRESS CARE |
| Practice Address |
829b S Washington Ave Emmett ID 83617-3528 |
| Practice Telephone | 2089631190 |
| Mailing Telephone | 2089631190 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | JOSEPH WAYNE PETRIE (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2089631190 |
| Authorized Official Credential | PAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
PA-1129 | ID | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gem Express Care | Doing Business As Name - Organization |
| Street Address |
829B S WASHINGTON AVE |
| City | EMMETT |
| State | ID |
| Zip Code | 83617-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1679039135 | Hollis Family Pharmacy LLC | Pharmacy | 845 S Substation Rd, Emmett, ID 83617 | 2019-02-20 |
| 1699248054 | Lisa Southard | Social Worker | 825 S. Washington Avenue, Emmett, ID 83617 | 2019-01-09 |
| 1396069712 | Kelsey Peterson | Dentist | 1312 South Washington Street, Emmett, ID 83617 | 2010-03-15 |
| 1598907073 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 179 West Highway 52, Emmett, ID 83617 | 2009-03-31 |
| 1548401169 | Cynthia K. Rokey | Massage Therapist | 3777 S. Johns Ave, Emmett, ID 83617 | 2009-03-11 |
| 1407984966 | Jill Janay Sprague | Counselor | 113 N Commercial, Emmett, ID 83617 | 2007-02-28 |
| 1548320252 | Jo Anna Henson1 | Homemaker | 2020 Ua Ave Sp 14, Emmett, ID 83617 | 2006-12-11 |
| 1922193200 | Nancy Susanne Nickerson | Physical Therapist | 809 S Washington, Emmett, ID 83617 | 2006-10-04 |
| 1083707277 | Michael S Lee | Social Worker | 2007 S Plaza, Suite #1, Emmett, ID 83617 | 2006-10-02 |
| Find all providers in zip 83617 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 1679134126 | Bloom Care LLC | Clinic/Center | 6965 N Glenwood St, Boise, ID 83714-1967 | 2019-06-25 |
| 1770044703 | Two Rivers Medical Group | Clinic/Center | 151 W Galvani Dr Ste 151, Meridian, ID 83642-8008 | 2019-03-31 |
| 1912481292 | Falls Avenue Immediate Care Pa | Clinic/Center | 260 Falls Ave Ste D, Twin Falls, ID 83301-3370 | 2018-09-21 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| 1750621744 | Lakeland Immediate Care LLC | Clinic/Center | 15636 N Highway 41 Ste 100, Rathdrum, ID 83858-8710 | 2013-02-27 |
| 1790043693 | River View Urgent Care & Medical Center Inc | Clinic/Center | 382 N Overland Ave, Burley, ID 83318-3433 | 2012-04-27 |
| 1841596186 | Magic Valley Urgent Care, Pllc | Clinic/Center | 496 Shoup Ave W Ste F, Twin Falls, ID 83301-5043 | 2011-02-03 |
| 1437214475 | Tamarack Medical Clinic | Clinic/Center | 610 Village Dr, Donnelly, ID 83615 | 2006-12-27 |
| 1821603382 | Quicker Care Pllc | Clinic/Center | 844 Washington St N Ste 400, Twin Falls, ID 83301-3874 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
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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.