Rodney Gillman Jay in Rexburg - Emergency Medical Services

Rodney Gillman Jay - NPI 1225201148

Rodney Gillman Jay is a Emergency Medical Services in Rexburg, Idaho. Rodney Gillman Jay practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Rodney Gillman Jay is 1225201148. The last update date is 2020-04-13.

Rodney Gillman Jay's current location address is 450 E Main St, Rexburg, Idaho. You can contact this provider via phone number 2083563691. The mailing address for Rodney Gillman Jay is 450 E Main St, Rexburg, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Rodney Gillman Jay
Address 450 E Main St, Rexburg, Idaho
Phone Number 2083563691
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1225201148
Provider Enumeration Date 2008-04-11
Last Updated Date 2020-04-13

Provider Mailing Address Detail

Address 450 E Main St
City Rexburg
State Idaho (ID)
Post Code 834402048
Phone Number 2083563691
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medical Services
Taxonomy 207Pe0004X
Licence No 5298339-1205
Definition:
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1225201148 UT --

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FAQs about Rodney Gillman Jay

What is the unique 10-digit identification code issued to Rodney Gillman Jay by the Centers for Medicare & Medicaid Services?

The Rodney Gillman Jay has been assigned the NPI (National Provider Identifier) 1225201148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Rodney Gillman Jay is physically located?

The Rodney Gillman Jay is physically situated at the following address: 450 E Main St, Rexburg, ID, 834402048.

What is Rodney Gillman Jay's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Rodney Gillman Jay is Emergency Medical Services, and the taxonomy code that categorizes this field of expertise is 207Pe0004X.

When did the Rodney Gillman Jay receive its 1225201148?

The Rodney Gillman Jay was issued its 1225201148 on 2008-04-11, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Rodney Gillman Jay most recently updated or revised?

The details related to Rodney Gillman Jay, including its address, specialty, and other relevant information, were last updated or revised on 2020-04-13.

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