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GEM FAMILY PRACTICE, INC
NPI 1205052198
Clinic/Center - Rural Health in Emmett, ID

Active since April 18, 2007
1108 S WASHINGTON AVE, EMMETT, ID 83617(208) 365-3455(208) 365-3422 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gem Family Practice, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEM FAMILY PRACTICE, INC (NPI 1205052198) is a healthcare organization registered as a rural health in Emmett, Idaho and active in the NPI registry since April 2007. The organization lists Jennice M Cordova, President, as its authorized official.

NPPES Registry Identity

NPI1205052198
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGEM FAMILY PRACTICE, INC
Location Address1108 S WASHINGTON AVEEmmett, ID 83617-3535
Mailing Address1108 S Washington AveEmmett, ID 83617-3535 · (208) 365-3455 · Fax (208) 365-3422
Phone(208) 365-3455
Fax(208) 365-3422
Organization SubpartNo
Authorized OfficialJennice M CordovaPresident · (208) 365-3455
Enumeration DateApril 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205052198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in ID · PA 281
1108 S WASHINGTON AVE, Emmett, ID 83617
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMETT EYE CENTER, PLLC
Optometrist
1108 S WASHINGTON AVE
EMMETT, ID 83617
Gem County (208) 365-2020
TRENTON G. WARNER O.D.
Optometrist
1108 S WASHINGTON AVE
EMMETT, ID 83617
Gem County (208) 365-2020
DR. JASON L HOWARD O.D.
Optometrist
1108 S WASHINGTON AVE
EMMETT, ID 83617
Gem County (208) 365-2020
KENDON DELBERT SEAMONS OD
Optometrist
1108 S WASHINGTON AVE
EMMETT, ID 83617
Gem County (208) 365-4531
GEM FAMILY PRACTICE
Nurse Practitioner
1108 S WASHINGTON AVE
EMMETT, ID 83617
Gem County (208) 365-3455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gem Family Practice, Inc's NPI number?

The NPI number for Gem Family Practice, Inc is 1205052198. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Gem Family Practice, Inc located?

Gem Family Practice, Inc is located at 1108 S Washington Ave, Emmett, ID 83617. The listed phone number is (208) 365-3455.

What is Gem Family Practice, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Gem Family Practice, Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.