Organization
GEM PREP: MERIDIAN NORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BOGAR (DIRECTOR OF FINANCE)
(208) 877-1513
Entity
Organization
Contact information
Practice address
5390 N MCDERMOTT RD, MERIDIAN, ID 83646-2594
(208) 877-1513
(208) 877-1713
Mailing address
PO BOX 86, DEARY, ID 83823-0086
(208) 877-1513
(208) 877-1713
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
09/30/2025
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