GEM STATE REGIONAL DIALYSIS CENTER

Clinic/Center - End-Stage Renal Disease (ESRD) Treatment

Active Organization
NPI: 1720187248

Practice Address

2225 TETON PLZ STE A
Idaho Falls, ID 83404

Phone: (208) 522-4831

Specialties

Specialty Code Primary License
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment 261QE0700X Yes ID DOESN'T ISSUE ONE (ID)

Frequently Asked Questions

NPI 1720187248 is the National Provider Identifier for GEM STATE REGIONAL DIALYSIS CENTER, a Clinic/Center - End-Stage Renal Disease (ESRD) Treatment provider located in Idaho Falls, ID. This NPI was enumerated on September 21, 2006.

Quick Facts

NPI
1720187248
Type
Organization
Enumerated
Sep 21, 2006
Last Updated
Sep 11, 2007

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