National Provider Identifier Database

GRITMAN MEDICAL CENTER INC
Rural Health


Contact Information

GRITMAN MEDICAL CENTER INC
606 E MAIN ST
KENDRICK, ID83537
Phone: 208-289-3841
Fax: 208-289-3961
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for GRITMAN MEDICAL CENTER INC

NPI Number 1750475380
Legal business name
LBN
GRITMAN MEDICAL CENTER INC
Authorized official HARRY JASPER - (CFO)
Entity Organization
Organization subpart No
Enumeration date 10/03/2006
Last updated 02/14/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 39
  • ID Medicaid: 805890000
  • WA Medicaid: 7118532
  • ID Other: 8A612 BLUE CROSS
  • ID Other: 000010138308 REGENCE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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