Gem State Regional Dialysis Center

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

ID DOESN'T ISSUE ONE Issued in ID

Legal business name

GEM STATE REGIONAL DIALYSIS CENTER

Practice address

2225 Teton PLZ Ste a
Idaho Falls, ID 83404-6494

Phone

(208) 522-4831

Fax

(208) 529-4189

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Steven L Hemming

Title

Program Administrator

Phone

(801) 581-8573

Specialties & licenses 1

Addresses

Other names 1

• University of Utah Doing business as

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1720187248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27071",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270071",
            "telephone_number": "801-581-8578",
            "fax_number": "208-529-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 TETON PLZ STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046494",
            "telephone_number": "208-522-4831",
            "fax_number": "208-529-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM STATE REGIONAL DIALYSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "HEMMING",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "801-581-8573",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "ID",
            "license": "ID DOESN'T ISSUE ONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McKenzie Gauchay
• Tom Dewey Gauchay
• Cheryl Gaudio, LMSW
• Kyle Gebs, FNP-C
• Gem Prep: Idaho Falls, LLC
• Gene K Hodges MD
• Gene K. Hodges M.D.
• Generations Occupational Therapy
• Genesis Women'S Health Non-Profit Corporation
• Nathaniel Dean Genther, LMSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.