Organization
GEM PREP: POCATELLO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARB FEMREITE (CFO)
(208) 877-1513
Entity
Organization
Contact information
Practice address
1451 JESSIE CLARK LN, POCATELLO, ID 83202-2787
(208) 877-1513
(208) 877-1713
Mailing address
PO BOX 338, DEARY, ID 83823-0338
(208) 877-1513
(208) 877-1713
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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