Organization · Type 2 NPI
Gem State Regional Dialysis Center
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Idaho Falls, ID
NPI number
1720187248
Active
Practice location
2225 Teton Plz Ste A
Idaho Falls, ID 83404-6494
Fax (208) 529-4189
Mailing address
PO Box 27071
Salt Lake City, UT 84127-0071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | ID DOESN'T ISSUE ONE (ID) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
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- Fresenius Medical Care Idaho Falls, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Idaho Falls, ID NPI 1295352391
- Liberty Dialysis - Idaho Falls LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Idaho Falls, ID NPI 1487692950
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About NPI 1720187248
Gem State Regional Dialysis Center's National Provider Identifier is 1720187248, issued on Sep 21, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 11, 2007.