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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GEM STATE REGIONAL DIALYSIS CENTER

Active Organization

End-Stage Renal Disease Treatment Facility · IDAHO FALLS, ID

Registration Details

NPI Number
1720187248
Provider Type
Organization
NPI Issued
Sep 21, 2006 (19.584756099823 yrs)
Last Updated
Sep 11, 2007
License
ID DOESN'T ISSUE ONE (ID)

Practice Information

Address
2225 TETON PLZ STE A
IDAHO FALLS, ID, 834046494
Browse ID providers · Browse ZIP 83404
Phone
2085224831
Fax
2085294189

Other End-Stage Renal Disease Treatment Facility Organizations in IDAHO FALLS, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.