OrganizationActive
Gem Family Practice, Inc
NPI 1205052198 · Rural Health Clinic/Center · Emmett, ID
Provider details
- NPI number
- 1205052198
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennice Cordova, President(208) 365-3455
- License
- PA 281 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1108 S Washington Ave
Emmett, ID 83617-3535
Phone: (208) 365-3455
Fax: (208) 365-3422
Street-level locationGet directions
Mailing address
1108 S Washington Ave
Emmett, ID 83617-3535
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.