OrganizationActive
Gem State Regional Dialysis Center
NPI 1720187248 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1720187248
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Steven Hemming, Program Administrator
- License
- ID DOESN'T ISSUE ONE (ID)
Practice location
2225 Teton Plz Ste a
Idaho Falls, ID 83404-6494
Phone: (208) 522-4831
Fax: (208) 529-4189
Mailing address
Po Box 27071
Salt Lake City, UT 84127-0071
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2007-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.