NPIMap

Organization Active NPI

Gem Innovation Schools of Idaho, Inc.

  • Case Management Agency
  • Deary, ID
National Provider Identifier
1023336161
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GEM INNOVATION SCHOOLS OF IDAHO, INC.
Practice address
600 South Ave
Deary, ID 83823-9683
Phone
(208) 877-1513
Fax
(208) 877-1713
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lori A Bogar
Title
Business Manager
Phone
(208) 877-1513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

600 South Ave
Deary, ID 83823-9683

Mailing address

PO Box 86
Deary, ID 83823-0086
Phone (208) 877-1513

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1023336161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "DEARY",
            "state": "ID",
            "postal_code": "838230086",
            "telephone_number": "208-877-1513",
            "fax_number": "208-877-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOUTH AVE",
            "city": "DEARY",
            "state": "ID",
            "postal_code": "838239683",
            "telephone_number": "208-877-1513",
            "fax_number": "208-877-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM INNOVATION SCHOOLS OF IDAHO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "BOGAR",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "208-877-1513"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deary, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.