P Praxis·MD
● Active Type 2 · Organization

Gem Family Practice, Inc

Clinic/Center·Emmett, ID· NPI 1205052198 · Enumerated 2007 · 19 years on NPI
Gem Family Practice, Inc is 1 of 61 clinic/center organizations in Idaho.
NPI age
19 years
Enumerated 2007-04-18
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cordova
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 61 active clinic/center providers in Idaho.

NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1108 S Washington Ave
Emmett, ID 836173535
📞 2083653455fax 2083653422
Mailing address
1108 S Washington Ave
Emmett, ID 836173535
📞 2083653455fax 2083653422

Authorized official

Jennice M Cordova, MPA-C
President
📞 2083653455

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #PA 281 taxonomy 261QR1300X

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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