GEM STATE REGIONAL DIALYSIS CENTER (NPI# 1720187248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720187248 |
| Entity Type | Organization |
| Organization Name | GEM STATE REGIONAL DIALYSIS CENTER |
| Other Organization Name | UNIVERSITY OF UTAH |
| Practice Address |
2225 Teton Plz Ste A Idaho Falls ID 83404-6494 |
| Mailing Address |
Po Box 27071 Salt Lake City UT 84127-0071 |
| Practice Telephone | 2085224831 |
| Practice Fax Number | 2085294189 |
| Mailing Telephone | 8015818578 |
| Mailing Fax Number | 2085294189 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | MR. STEVEN L HEMMING (PROGRAM ADMINISTRATOR) |
| Authorized Official Telephone | 8015818573 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
ID DOESN'T ISSUE | ID | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| University of Utah | Doing Business As Name - Organization |
| Street Address |
2225 TETON PLZ STE A |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1164617361 | Total Renal Care Inc | Clinic/Center | 900 Pancheri Dr, Ste B, Idaho Falls, ID 83402-3310 | 2007-09-11 |
| 1487692950 | Liberty Dialysis - Idaho Falls LLC | Clinic/Center | 2381 E Sunnyside Rd, Idaho Falls, ID 83404-7521 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1083146559 | Total Renal Care, Inc. | Clinic/Center | 815 Nw 13th St, Fruitland, ID 83619 | 2017-04-03 |
| 1457749475 | Lewis-clark Kidney Center LLC | Clinic/Center | 2116 12th Ave, Lewiston, ID 83501-3502 | 2014-12-29 |
| 1144621665 | Dsi Post Falls, LLC | Clinic/Center | 920 N Highway 41, Suite 3-6, Post Falls, ID 83854-8806 | 2014-09-16 |
| 1427472141 | Boise Dialysis Partners II, LLC | Clinic/Center | 1109 W Myrtle St Ste 120, Boise, ID 83702-6971 | 2014-02-17 |
| 1467883967 | Dsi Kellogg, LLC | Clinic/Center | 858 Commerce Dr., Smelterville, ID 83868 | 2013-12-09 |
| 1154669695 | Tfld Partners, LLC | Clinic/Center | 350 North Haven Drive, Twin Falls, ID 83301 | 2013-01-17 |
| 1255643243 | Ldcd LLC | Clinic/Center | 4620 Enterprise Way, Suite 101, Caldwell, ID 83605-6764 | 2010-07-08 |
| 1225265606 | Total Renal Care Inc | Clinic/Center | 212 Rodeo Dr Ste 110, Moscow, ID 83843-9791 | 2009-06-12 |
| 1538306428 | Inland Nw Renal Care Group - Gritman Medical Center LLC | Clinic/Center | 723 S Main St., Moscow, ID 83843-3041 | 2009-01-14 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.