GRITMAN MEDICAL CENTER INC; NPI #1750475380

Contact Information

GRITMAN MEDICAL CENTER INC

606 E MAIN ST
KENDRICK, ID 83537

Phone: 208-289-3841
Fax: 208-289-3961
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for GRITMAN MEDICAL CENTER INC

NPI # 1750475380

LBN Legal business name GRITMAN MEDICAL CENTER INC

Authorized official HARRY JASPER - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/03/2006

Last updated 02/14/2017 - About 9 years ago

Identifiers

ID	License #	39
ID	Medicaid	805890000
WA	Medicaid	7118532
ID	Other	8A612	BLUE CROSS
ID	Other	000010138308	REGENCE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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